TABLE 1.
Inpatient rehabilitation trajectory | LTC trajectory | Home rehab trajectory | Home nursing trajectory | Home trajectory | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pathway | To LTC | To home rehab | To home nursing | To home | Died a | No discharge | To IR | To home rehab | To home nursing | To home | *Died | No dis‐charge | H‐Rehab + died | H‐Rehab | H‐Nursing + died | H‐Nursing | Home + died | Home | |
Population: N (row %) | |||||||||||||||||||
CA | N = 8162 | 5% | 40% | 1% | 14% | 2% | 0% | 0% | 1% | 0% | 3% | 3% | 2% | 3% | 17% | 0% | 1% | 2% | 5% |
FR | N = 31,650 | 11% | 35% | 10% | 21% | 1% | 0% | 0% | 0% | 0% | 0% | 0% | 1% | 1% | 12% | 0% | 3% | 1% | 3% |
DE | N = 10,368 | 3% | 26% | 4% | 14% | 0% | 0% | 0% | 2% | 0% | 3% | 2% | 0% | 4% | 21% | 2% | 4% | 4% | 11% |
Age: mean | |||||||||||||||||||
CA | 85.9 | 83.4 | 82.5 | 82.2 | 87.7 | 84.9 | 82.3 | 84.2 | 81.9 | 85.6 | 87.3 | 85.2 | 84.3 | 79.4 | 84.8 | 79.5 | 84.6 | 78.8 | |
FR | 7.1 | 7.5 | 8.2 | 8.1 | 7.5 | 8.5 | 10.1 | 7.5 | 9.3 | 7.4 | 6.4 | 7.1 | 8.2 | 8.3 | 7.5 | 9.3 | 8.2 | 8.8 | |
DE | 87.3 | 83.2 | 83.4 | 83.8 | 87.2 | 0.0 | 85.8 | 87.4 | 83.3 | 87.9 | 88.0 | 57.1 | 85.0 | 78.3 | 82.6 | 76.5 | 84.8 | 83.8 | |
Sex (% female) | |||||||||||||||||||
CA | 76% | 73% | 61% | 67% | 57% | 63% | 93% | 75% | n.r. | 75% | 74% | 74% | 70% | 73% | 56% | 79% | 51% | 65% | |
FR | 80% | 79% | 78% | 73% | 61% | n.a. | 80% | 87% | 75% | 69% | 73% | 82% | 68% | 73% | 61% | 70% | 62% | 78% | |
DE | 81% | 80% | 80% | 75% | 62% | n.a. | 78% | 81% | 85% | 82% | 68% | 88% | 66% | 76% | 67% | 79% | 69% | 73% | |
# Comorbidities: mean | |||||||||||||||||||
CA | 2.6 | 2.7 | 3.2 | 2.7 | 3.4 | 2.9 | 2.8 | 2.5 | 4.0 | 2.7 | 2.4 | 2.3 | 3.3 | 2.2 | 3.7 | 2.2 | 3.5 | 1.9 | |
FR | 1.8 | 2.0 | 2.1 | 2.1 | 2.4 | 1.9 | 2.1 | 1.7 | 2.0 | 2.1 | 2.1 | 1.8 | 2.1 | 1.9 | 1.9 | 1.9 | 2.6 | 1.6 | |
DE | 2.6 | 2.4 | 2.7 | 3.1 | 2.4 | 0.0 | 5.4 | 2.1 | 1.8 | 3.3 | 3.3 | 2.4 | 3.6 | 1.7 | 4.0 | 1.5 | 3.7 | 2.3 | |
Total days in institutional care: mean | |||||||||||||||||||
CA | 230 | 47 | 43 | 76 | 72 | 328 | 123 | 95 | 173 | 184 | 210 | 305 | 13 | 16 | 7 | 7 | 25 | 60 | |
FR | 121 | 55 | 36 | 94 | 108 | n.a. | 87 | 67 | 146 | 132 | 141 | 84 | 40 | 59 | 30 | 25 | 73 | 117 | |
DE | 280 | 60 | 70 | 88 | 31 | n.a. | 110 | 83 | 109 | 163 | 52 | 358 | 19 | 13 | 17 | 8 | 15 | 43 | |
Total days alive: mean | |||||||||||||||||||
CA | 338 | 348 | 331 | 325 | 90 | 365 | 347 | 354 | 282 | 304 | 240 | 365 | 162 | 365 | 112 | 365 | 100 | 365 | |
FR | 69 | 59 | 85 | 96 | 106 | n.a. | 56 | 50 | 121 | 106 | 139 | 0 | 98 | 0 | 83 | 0 | 111 | 0 | |
DE | 334 | 354 | 347 | 300 | 46 | n.a. | 303 | 352 | 365 | 278 | 156 | 365 | 192 | 365 | 154 | 365 | 102 | 365 | |
365‐day Mortality: column % | |||||||||||||||||||
CA | 16% | 10% | 16% | 18% | 100% | 0% | n.r. | 7% | n.r. | 31% | 100% | 0% | 100% | 0% | 100% | 0% | 100% | 0% | |
FR | 14% | 7% | 10% | 19% | 100% | n.a. | 40% | 9% | 0% | 34% | 100% | 0% | 100% | 0% | 100% | 0% | 100% | 0% | |
DE | 26% | 6% | 16% | 14% | 100% | n.a. | 11% | 11% | 5% | 20% | 100% | 0% | 100% | 0% | 100% | 0% | 100% | 0% | |
Total annual expenditure/day alive | |||||||||||||||||||
CA | $236 | $154 | $191 | $208 | $654 | $457 | $181 | $135 | $225 | $207 | $229 | $227 | $295 | $86 | $404 | $101 | $489 | $136 | |
FR | $152 | $105 | $116 | $145 | $436 | n.a. | $168 | $80 | $79 | $105 | $146 | $78 | $160 | $60 | $196 | $56 | $240 | $70 | |
DE | $153 | $86 | $136 | $103 | $555 | n.a. | $160 | $147 | $141 | $140 | $301 | $137 | $245 | $106 | $298 | $134 | $294 | $92 |
Abbreviations: CA, Canada; DE, Germany; FR, France; H, home with; IR, inpatient rehabilitation; LTC, long‐term care; n.a. not applicable; n.r. not reportable due to small cells.
Died within inpatient rehabilitation, and LTC trajectories indicates died before next transition.