Table 4.
Associations between discharge settings and characteristics in 270 medically complex patients
| Characteristic | Acute Care Hospital | Home | Skilled Nurse Facility | P Value |
|---|---|---|---|---|
| n=33 | n=194 | n=43 | ||
| Age (y), mean ± SD | 67.2±15.1 | 73.7±11.9 | 78.0±11.4 | <.001* |
| BMI, mean ± SD | 30.0±15.0 | 29.7±9.2 | 29.1±9.3 | .91 |
| Sex, n (%) | .99 | |||
| Female | 17 (51.5) | 102 (52.6) | 23 (53.5) | |
| Male | 16 (48.5) | 92 (47.4) | 20 (46.5) | |
| Race, n (%) | .43 | |||
| White | 30 (90.9) | 185 (95.4) | 40 (93.0) | |
| Non-White | 3 (9.1) | 9 (4.6) | 3 (7.0) | |
| Ethnicity, n (%) | .38 | |||
| Hispanic | 1 (3.0) | 2 (1.0) | 0 | |
| Non-Hispanic | 32 (97.0) | 192 (99.0) | 43 (100.0) | |
| Insurance type, n (%) | <.001* | |||
| Commercial insurance | 13 (39.4) | 40 (20.6) | 2 (4.6) | |
| Medicare | 20 (60.6) | 154 (79.4) | 41 (95.4) | |
| CCI score category, n (%) | .98 | |||
| Low (0-2) | 5 (15.2) | 28 (14.4) | 5 (11.6) | |
| Moderate (3-4) | 15 (45.5) | 84 (43.3) | 20 (46.5) | |
| High (>4) | 13 (39.4) | 82 (42.3) | 18 (41.9) | |
| RLOS (d), mean ± SD | 9.1±7.9 | 12.7±5.3 | 15.1±5.6 | <.001* |
| FIM score at admission, mean ± SD | ||||
| Motor | 33.0±10.4 | 37.1±8.8 | 35.7±9.6 | .051 |
| Cognitive | 26.0±6.8 | 24.7±5.5 | 25.4±4.5 | .4 |
| Total subscales | 59.0±14.7 | 61.8±11.4 | 61.1±12.1 | .45 |
| FIM score at discharge, mean ± SD | ||||
| Motor | 45.4±15.8 | 62.1±11.2 | 52.8±11.1 | <.001* |
| Cognitive | 27.4±6.8 | 29.1±4.9 | 28.1±4.2 | .14 |
| Total subscales | 72.8±20.6 | 91.2±14.4 | 80.9±13.8 | <.001* |
| Acutely managed comorbidities, n (%) | ||||
| CHF | 9 (27.3) | 53 (27.3) | 12 (27.9) | >.99 |
| Peripheral vascular disease | 3 (9.1) | 8 (4.1) | 0 | .12 |
| Diabetes without chronic complications | 5 (15.2) | 50 (25.8) | 12 (27.9) | .4 |
| Renal disease, mild to moderate | 1 (3.0) | 28 (14.4) | 9 (20.9) | .059 |
| Liver disease, mild | 0 | 7 (3.6) | 1 (2.3) | .85 |
| Chronic pulmonary disease | 2 (6.1) | 7 (3.6) | 0 | .34 |
| Myocardial infarction | 1 (3.0) | 9 (4.6) | 0 | .44 |
| Diabetes with chronic complications | 6 (18.2) | 20 (10.3) | 4 (9.3) | .39 |
| Renal disease, severe | 5 (15.2) | 23 (11.9) | 3 (7.0) | .48 |
| Liver disease, moderate to severe | 0 | 4 (2.1) | 0 | >.99 |
| Metastatic solid tumor | 2 (6.1) | 0 | 0 | .015† |
| AIDS | 2 (6.1) | 9 (4.6) | 0 | .32 |
| Anemia‡ | 8 (24.2) | 28 (14.4) | 6 (14.0) | .35 |
| Atrial fibrillation‡ | 7 (21.2) | 53 (27.3) | 18 (41.9) | .1 |
| Respiratory failure‡ | 1 (3.0) | 3 (1.6) | 0 | .5 |
| Acute pneumonia‡ | 4 (12.1) | 18 (9.3) | 4 (9.3) | .8 |
| Bacteremia‡ | 0 | 2 (1.0) | 0 | >.99 |
| HTN‡ | 21 (63.6) | 114 (58.8) | 28 (65.1) | .69 |
| Orthostatic hypotension‡ | 0 | 9 (4.6) | 1 (2.3) | .59 |
| OSA‡ | 4 (12.1) | 19 (9.8) | 4 (9.3) | .9 |
NOTE. BMI calculated as weight in kilograms divided by height in meters squared.
Abbreviations: CHF, congestive heart failure; HTN, essential (primary) hypertension; OSA, obstructive sleep apnea.
⁎
P<.05.
†
P<.001.
‡
Not included in CCI.