Table 4.
Healthcare Usage in the Last 6 Months of Life by Length of Follow up in MDC Clinic.
| ≤3 months (n = 18) | 3-6 months (n = 8) | 6-12 months (n = 17) | >12 months (n = 38) | Total | |
|---|---|---|---|---|---|
| Hospitalizations | |||||
| % patients with hospitalization (n) | 72.2% (13) | 75% (6) | 82.3% (14) | 65.8% (25) | 71.6% (58) |
| % patients die in hospital (n) | 44.4% (8) | 37.5% (3) | 64.7% (11) | 52.6% (20) | 51.9% (42) |
| Number of hospitalizations/pt, median (IQR) | 2 (1-2) | 1 (1-1) | 2 (1-3) | 2 (1-3) | 2 (1-3) |
| Total LOS/pt (days), median (IQR) | 23 (13-35) | 13.5 (4-43) | 16.5 (7-36) | 19 (9-28) | 19 (8-35) |
| Total acute LOS/pt (days), median (IQR) | 23 (13-35) | 13.5 (4-43) | 14 (7-24) | 18 (9-25) | 17.5 (8-34) |
| Total RIW/pt, median (IQR) | 5.9 (1.4-9.2) | 2.95 (.8-5.5) | 2.9 (1.1-4.7) | 3.4 (1.8-4.7) | 3.5 (1.3-6.2) |
| Emergency department visits | |||||
| % patients with ED visits (n) | 72.2% (13) | 50% (4) | 70.6% (12) | 73.7% (28) | 70.4% (57) |
| Number of ED visits/pt, median (IQR) | 3 (2-4) | 1.5 (1-2) | 3 (1-5) | 2.5 (2-4) | 2 (2-4) |
| Total stay in minutes/pt, median (IQR) | 1150 (608-4338) | 945.5 (257.5-1451.5) | 2596 (1669-3847) | 1880 (959-3675) | 1749 (716-3626) |
| Total RIW/pt, median (IQR) | .25 (.15-.28) | .16 (.1-.19) | .30 (.11-.44) | .24 (.18-.38) | .25 (.15-.37) |
| Primary physician visits | |||||
| % patients with GP visit (n) | 94.4% (17) | 100% (8) | 70.6% (12) | 86.8% (33) | 86.4% (70) |
| Number of GP visits/pt, median (IQR) | 5 (2-12) | 4 (1.5-9.5) | 4 (3-9.5) | 6 (3-12) | 5 (3-11) |
Abbreviations: ED, emergency department; GP, general practitioner; IQR, interquartile range; LOS, length of stay; pt, patient; MDC, multidisciplinary collaborative care; RIW, Resource Intensity Weighta,b.
aCanadian Institute for Health Information. Resource Indicators: DAD Resource Intensity Weights And Expected Length Of Stay | CIHI. Canadian Institute for Health Information. https://www.cihi.ca/en/resource-indicators-dad-resource-intensity-weights-and-expected-length-of-stay. Accessed April 3, 2022.
bCanadian Institute for Health Information. CMG+ CIHI. https://www.cihi.ca/en/cmg. Published 2019. Accessed April 3, 2022.