Table 3.
Factors related to readmission, mortality, and mean length of stay according to the hospital-at-home modality.
| Readmission | Mortality Prior to Discharge | Mean Length of Stay | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n | % | aOR (CI95%) | p | n | % | aOR (CI95%) | p | mean | SD | Ratio (CI95%) | p | |
| Admission avoidance | ||||||||||||
| Sex | ||||||||||||
| Male | 302 | 8.0 | 1.00 | 37 | 1.0 | 1.00 | 9.9 | 11.3 | 1.00 | |||
| Female | 299 | 8.8 | 1.17 (0.99–1.39) | 0.065 | 31 | 0.9 | 0.87 (0.53–1.44) | 0.582 | 9.1 | 9.8 | 0.94 (0.92–0.96) | <0.001 |
| Charlson Index | ||||||||||||
| 0 or 1 | 304 | 6.8 | 1.00 | 28 | 0.6 | 1.00 | 8.8 | 10.0 | 1.00 | |||
| 2 | 108 | 9.3 | 1.22 (0.97–1.55) | 0.083 | 16 | 1.4 | 1.67 (0.90–3.11) | 0.106 | 10.6 | 12.3 | 1.20 (1.18–1.22) | <0.001 |
| ≥ 3 | 189 | 12.1 | 1.69 (1.39–2.07) | <0.001 | 24 | 1.5 | 1.89 (1.08–3.31) | 0.027 | 10.8 | 10.6 | 1.26 (1.24–1.28) | <0.001 |
| Type of hospital | ||||||||||||
| Reference hospital | 156 | 5.8 | 1.00 | 15 | 0.6 | 1.00 | 9.6 | 10.4 | 1.00 | |||
| District hospital | 217 | 9.4 | 1.48 (1.19–1.83) | <0.001 | 28 | 1.2 | 1.54 (0.81–2.91) | 0.182 | 7.1 | 5.7 | 0.74 (0.72–0.75) | <0.001 |
| High-technology general hospital | 106 | 10.3 | 1.62 (1.25–2.11) | <0.001 | 8 | 0.8 | 1.01 (0.43–2.40) | 0.975 | 11.7 | 11.4 | 1.19 (1.17–1.22) | <0.001 |
| High-resolution hospital | 122 | 10.3 | 1.76 (1.37–2.27) | <0.001 | 17 | 1.4 | 2.11 (1.04–4.27) | 0.037 | 12.4 | 15.5 | 1.30 (1.27–1.33) | <0.001 |
| Age | 1.02 (1.01–1.02) | <0.001 | 1.07 (1.05–1.10) | <0.001 | 1.00 (1.00–1.00) | <0.001 | ||||||
| Early discharge | ||||||||||||
| Sex | ||||||||||||
| Male | 117 | 8.8 | 1.00 | 5 | 0.4 | 1.00 | 9.8 | 8.7 | 1.00 | |||
| Female | 72 | 6.8 | 0.82 (0.60–1.12) | 0.212 | 7 | 0.7 | 1.23 (0.34–4.04) | 0.729 | 9.9 | 13.5 | 1.06 (1.04–1.09) | <0.001 |
| Charlson Index | ||||||||||||
| 0 or 1 | 93 | 6.3 | 1.00 | 8 | 0.5 | 1.00 | 9.7 | 10.8 | 1.00 | |||
| 2 | 46 | 11.4 | 1.70 (1.16–2.45) | 0.006 | 3 | 0.7 | 1.04 (0.27–3.99) | 0.954 | 9.8 | 12.3 | 1.00 (0.97–1.05) | 0.596 |
| ≥ 3 | 50 | 9.9 | 1.52 (1.05–2.21) | 0.028 | 1 | 0.2 | 0.28 (0.03–2.29) | 0.235 | 10.2 | 11.1 | 1.07 (1.03–1.10) | <0.001 |
| Type of hospital | ||||||||||||
| Reference hospital | 18 | 3.4 | 1.00 | 2 | 0.4 | 1.00 | 9.4 | 9.1 | 1.00 | |||
| District hospital | 52 | 7.1 | 2.24 (1.29–3.88) | 0.004 | 4 | 0.5 | 1.30 (0.24–7.21) | 0.761 | 8.7 | 13.0 | 0.92 (0.89–0.95) | <0.001 |
| High-technology general hospital | 68 | 11.2 | 3.60 (2.10–6.16) | <0.001 | 2 | 0.3 | 1.27 (0.17–9.21) | 0.814 | 13.0 | 12.1 | 1.37 (1.32–1.42) | <0.001 |
| High-resolution hospital | 51 | 10.1 | 3.20 (1.84–5.56) | <0.001 | 4 | 0.8 | 2.24 (0.40–12.40) | 0.356 | 8.1 | 7.4 | 0.86 (0.82–0.89) | <0.001 |
| Age | 1.01 (1.00–1.02) | 0.204 | 1.11 (1.04–1.20) | 0.002 | 1.00 (1.00–1.00) | 0.002 | ||||||
n: number of contacts with a positive indicator; % percentage of contacts with a positive indicator; mean: mean of the duration of days of contact. SD: standard deviation. aOR/Ratio (CI95%): adjusted Odds Ratio/adjusted Ratio and 95% confidence Interval adjusted by the hospital-at-home modality, sex, age, comorbidity (Charlson index), and type of hospital; p: p-value based on the multivariate model.