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. 2019 Apr 7;28(7):534–546. doi: 10.1136/bmjqs-2018-009130

Table 4.

Results of adjusted regression models

Relative difference Absolute difference P value Interaction test
P value*
Outcomes over the follow-up period Point estimate 95% CI Point estimate 95% CI
Residential care homes
 Potentially avoidable admissions 0.50 (0.30 to 0.82) −0.20 (−0.28 to –0.07) 0.007 0.020
 Emergency admissions 0.60 (0.42 to 0.86) −0.37 (−0.54 to –0.13) 0.004 0.005
 A&E attendances 0.57 (0.40 to 0.81) −0.57 (−0.80 to –0.25) 0.001 0.008
 Hospital bed days† 0.81 (0.43 to 1.53) −0.007 (−0.022 to 0.021) 0.467 Count: 0.858
Zero: 0.135
 Outpatient attendances 1.28 (0.88 to 1.86) 0.41 (−0.18 to 1.26) 0.169 0.266
 Deaths outside hospital 1.25 (0.54 to 2.92) 17.3% (−31.8% to 132.7%) 0.608 0.558
Nursing homes
 Potentially avoidable admissions 1.17 (0.76 to 1.81) 0.03 (−0.05 to 0.16) 0.484
 Emergency admissions 1.15 (0.85 to 1.56) 0.08 (−0.08 to 0.30) 0.352
 A&E attendances 1.04 (0.78 to 1.38) 0.03 (−0.15 to 0.26) 0.806
 Hospital bed days 1.07 (0.64 to 1.80) 0.002 (−0.012 to 0.027) 0.790
 Outpatient attendances 0.97 (0.71 to 1.32) −0.06 (−0.60 to 0.67) 0.840
 Deaths outside hospital 1.00 (0.40 to 2.49) 0.00 (−53.1% to 131.9%) 0.992

All relative differences are rate ratios, apart from deaths outside hospital and deaths, which are ORs. See online supplementary file 2 for a list of covariates each outcome was adjusted for and for model fit statistics. Absolute differences are calculated by first calculating the relative difference, then multiplying the relative difference with the crude rate in the matched control group, and then comparing the resulting rate to the crude rate.

*Interaction test of residential versus nursing homes.

†The absolute difference in hospital bed days shows the difference in the proportion of hospital bed days out of the period residents were followed up in the study. The interaction model estimating hospital bed days is a Hurdle model and produces separate effect estimates on whether a resident is hospitalised or not (‘Zero’ part) and on the number of hospital bed days following hospitalisation (‘Count’ part).

A&E, Accident & Emergency.