Table 2.
Sample characteristics at latest RAI-HC assessment, those with and without psychiatry visit.
| (%Of the column, unless indicated otherwise) | WRHA | Nova Scotia | p value WRHA vs. NS* | ||||
|---|---|---|---|---|---|---|---|
| Received any psychiatry while on home care | No | Yes | p | No | Yes | p | |
| N | 4,370 | 908 | 5,100 | 223 | |||
| (% of provincial cohort) | 82.8 | 17.2 | 95.8 | 4.2 | |||
| Mean age in years (standard deviation) | 84.3 (8.1) | 80.6 (8.7) | <0.0001 | 83.1 (8.3) | 79.2 (8.1) | <0.0001 | 0.029 |
| Female | 66.8 | 63.2 | 0.036 | 69.7 | 70.0 | 0.922 | 0.059 |
| Married | 31.8 | 34.8 | 0.077 | 30.2 | 33.2 | 0.345 | 0.207 |
| No informal caregiver | 1.1 | 2.2 | 0.011 | 1.7 | 3.1 | 0.093 | 0.412 |
| Made economic trade-offs due to limited funds | 2.8 | 4.9 | 0.001 | 4.0 | 4.0 | 0.955 | 0.608 |
| Antipsychotics in the past 7 days | 5.6 | 24.5 | <0.0001 | 10.6 | 24.7 | <0.0001 | 0.947 |
| Anxiolytics in the past 7 days | 9.1 | 21.2 | <0.0001 | 17.7 | 31.4 | <0.0001 | 0.001 |
| Antidepressants in the past 7 days | 16.3 | 39.5 | <0.0001 | 33.1 | 54.3 | <0.0001 | <0.0001 |
| Alzheimer's/related dementia | 26.5 | 42.6 | <0.0001 | 34.9 | 48.4 | <0.0001 | 0.117 |
| Depressive symptoms (DRS 3+) | 8.9 | 23.7 | <0.0001 | 26.4 | 42.2 | <0.0001 | <0.0001 |
| Condition makes cognition, mood, ADL or behavior unstable | 42.8 | 62.8 | <0.0001 | 48.7 | 69.1 | <0.0001 | 0.080 |
| High risk of long-term care home entry (MAPLe 4 or 5) | 40.8 | 56.0 | <0.0001 | 54.6 | 67.7 | <0.0001 | 0.001 |
| Not at ease with others | 4.8 | 11.8 | <0.0001 | 8.8 | 13.0 | 0.029 | 0.616 |
| Hallucinations | 1.2 | 4.2 | <0.0001 | 3.4 | 5.8 | 0.050 | 0.289 |
| Delusions | 1.5 | 4.6 | <0.0001 | 5.4 | 7.2 | 0.252 | 0.122 |
| Tobacco use daily | 5.5 | 8.6 | 0.001 | 8.8 | 11.7 | 0.146 | 0.155 |
| Discharge Disposition from Home Care | <0.0001 | 0.222 | 0.318 | ||||
| • Discharged deceased | 19.6 | 14.8 | 18.4 | 16.6 | |||
| • Discharged to long-term care facility | 30.1 | 43.7 | 43.1 | 49.3 | |||
| • Remain on home care after 4 years | 39.4 | 32.3 | 30.0 | 28.3 | |||
*
Comparing those in the WRHA receiving any psychiatry with those in Nova Scotia receiving any psychiatry.
DRS, Depression Rating Scale, sum of 7 depressive symptom items, range 0 to 14, higher scores are more severe; ADL, Activities of daily living; MAPLe, Method for Assigning Priority Level, algorithm assigning 1–5 range, with higher scores more at risk of long-term care placement and caregiver distress. Bolding denotes p values significant at the 0.05 (95% confidence) level.