Table 2.
Contacts to physicians and other health care providers within 48 h prior to transfer– by resident and transfer characteristicsa
| GP | Specialist | OOHC | EMS/EP | |||||
|---|---|---|---|---|---|---|---|---|
| N | N | N | N | |||||
| Contacts prior to all transfers | 206 | (38.7%) | 45 | (8.4%) | 39 | (7.3%) | 91 | (17.0%) |
| By resident’s sex | N = 206 | N = 45 | N = 39 | N = 91 | ||||
| Male | 56 | (35.4%) | 21 | (13.3%) | 11 | (7.0%) | 29 | (18.2%) |
| Female | 150 | (40.2%) | 24 | (6.4%) | 28 | (7.5%) | 62 | (16.5%) |
| By resident’s age | N = 205a | N = 45 | N = 39 | N = 91 | ||||
| 0–69 | 15 | (35.7%) | 4 | (9.5%) | 4 | (9.5%) | 10 | (23.8%) |
| 70–79 | 33 | (35.1%) | 12 | (12.6%) | 4 | (4.3%) | 16 | (16.8%) |
| 80–89 | 107 | (42.6%) | 21 | (8.4%) | 22 | (8.8%) | 39 | (15.5%) |
| 90 + | 50 | (35.5%) | 8 | (5.7%) | 9 | (6.4%) | 26 | (18.3%) |
| By result of transfer | N = 202a | N = 45 | N = 39 | N = 91 | ||||
| ED visit | 62 | (32.0%) | 22 | (11.3%) | 8 | (4.1%) | 33 | (16.9%) |
| Hospital admission | 140 | (42.2%) | 23 | (6.9%) | 31 | (9.4%) | 58 | (17.4%) |
| By weekday of transfer | N = 206 | N = 45 | N = 39 | N = 89a | ||||
| Monday | 37 | (40.7%) | 7 | (7.6%) | 8 | (8.8%) | 14 | (15.2%) |
| Tuesday | 30 | (38.5%) | 5 | (6.4%) | 3 | (3.9%) | 15 | (19.2%) |
| Wednesday | 33 | (42.3%) | 10 | (12.8%) | 6 | (7.8%) | 15 | (19.2%) |
| Thursday | 46 | (56.1%) | 6 | (7.3%) | 0 | (0.0%) | 10 | (12.2%) |
| Friday | 31 | (43.7%) | 6 | (8.5%) | 2 | (2.8%) | 8 | (11.0%) |
| Saturday | 14 | (25.9%) | 5 | (9.3%) | 10 | (18.5%) | 10 | (18.5%) |
| Sunday | 15 | (19.7%) | 6 | (7.9%) | 10 | (13.2%) | 17 | (22.4%) |
| By time of transfer | N = 204a | N = 45 | N = 39 | N = 91 | ||||
| 07:00am–12:59 pm | 79 | (40.7%) | 6 | (3.1%) | 14 | (7.2%) | 31 | (15.9%) |
| 01:00 pm–05:59 pm | 83 | (45.9%) | 27 | (14.9%) | 12 | (6.7%) | 31 | (17.0%) |
| 06:00 pm–10:59 pm | 25 | (32.1%) | 6 | (7.7%) | 5 | (6.4%) | 13 | (16.7%) |
| 11:00 pm–06:59am | 17 | (23.3% | 6 | (8.2%) | 8 | (11.0%) | 16 | (21.6%) |
| By reasons (symptoms) | N = 206 | N = 45 | N = 39 | N = 91 | ||||
| Deterioration of health status (e.g. fever, infection, dyspnea, exsiccosis) | 98 | (52.1%) | 9 | (4.8%) | 19 | (10.1%) | 31 | (16.5%) |
| Fall/accident/injury | 41 | (23.0%) | 14 | (7.9%) | 4 | (2.3%) | 28 | (15.6%) |
| Psychiatric/neurologic disorders (e.g. challenging behavior, stroke) | 14 | (36.8%) | 5 | (13.2%) | 1 | (2.6%) | 8 | (21.1%) |
| Complications with catheter/tube (e.g. blood in urine) | 7 | (18.4%) | 10 | (26.3%) | 3 | (7.9%) | 10 | (26.3%) |
| Pain, not fall-induced | 17 | (51.5%) | 1 | (3.0%) | 4 | (12.1%) | 5 | (15.2%) |
| Others (e.g. gastrointestinal symptoms, bleedings) | 29 | (50.9%) | 6 | (10.3%) | 8 | (14.3%) | 9 | (15.3%) |
| By duration of symptoms | N = 205a | N = 45 | N = 38a | N = 88a | ||||
| Less than 4 h | 78 | (24.5%) | 23 | (7.2%) | 17 | (5.4%) | 52 | (16.3%) |
| Between 4 and 12 h | 41 | (53.3%) | 6 | (7.8%) | 8 | (10.4%) | 13 | (16.9%) |
| Between 12 and 24 h | 31 | (57.4%) | 5 | (9.3%) | 7 | (13.0%) | 13 | (24.1%) |
| Between 25 and 72 h | 19 | (76.0%) | 2 | (8.0%) | 4 | (16.0%) | 3 | (12.0%) |
| Longer than 72 h | 36 | (70.6%) | 9 | (17.3%) | 2 | (3.9%) | 7 | (13.2%) |
| By residents’ wish for end-of-life care | N = 205a | N = 45 | N = 38a | N = 90a | ||||
| Unknown | 108 | (38.4%) | 22 | (7.8%) | 23 | (8.2%) | 49 | (17.4%) |
| Advance directive available | 97 | (39.3%) | 23 | (9.3%) | 15 | (6.1%) | 41 | (16.5%) |
EMS Emergency Medical Services, EP emergency physician, GP general practitioner
aOnly transfers with prior contacts are displayed, multiple contacts possible; numbers varied due to missing values
For example: GPs were contacted in 35.4% of transfers when residents were male