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Table 1 Population characteristics at emergency transfer date and comparison between inappropriate and appropriate ED transfer groups

From: Cost of care pathways before and after appropriate and inappropriate transfers to the emergency department among nursing home residents: results from the FINE study

Ā 

All Nā€‰=ā€‰616

Inappropriate ED transfer Nā€‰=ā€‰132

Appropriate ED transfer Nā€‰=ā€‰484

Statistical test

P-value

Characteristics of the residents

ā€ƒSex

ā€ƒā€ƒFemale

425 (69%)

86 (65%)

339 (70%)

Chi2

0.282

ā€ƒAge (mean, SD)

87 (7.29)

85.81 (7.97)

87.34 (7.06)

Mann-Whitney

0.024

ā€ƒCharlson score

ā€ƒā€ƒ0

55 (9%)

14 (10%)

41 (8%)

Chi2

0.561

ā€ƒā€ƒ1 to 2

269 (44%)

58 (44%)

211 (44%)

ā€ƒā€ƒ3 to 4

184 (30%)

34 (26%)

150 (31%)

ā€ƒā€ƒā‰„ā€‰5

89 (14%)

22 (17%)

67 (14%)

ā€ƒā€ƒNA

19 (3%)

4 (3%)

15 (3%)

ā€ƒKatz ADL score (dependency score)

ā€ƒā€ƒ0ā€‰=ā€‰Total

33 (6%)

12 (9%)

21 (4%)

Fisherā€™s exact

0.016

ā€ƒā€ƒ1ā€“3ā€‰=ā€‰High

390 (63%)

74 (56%)

316 (66%)

ā€ƒā€ƒ4ā€“5ā€‰=ā€‰Moderate

161 (26%)

43 (33%)

118 (24%)

ā€ƒā€ƒ6ā€‰=ā€‰No dependency

23 (4%)

2 (1%)

21 (4%)

ā€ƒā€ƒNA

9 (1%)

1 (1%)

8 (2%)

ā€ƒPalliative care

ā€ƒā€ƒNo

550 (89%)

107 (81%)

443 (92%)

Chi2

<ā€‰0.001

ā€ƒā€ƒYes

40 (7%)

19 (14%)

21 (4%)

ā€ƒā€ƒNA

26 (4%)

6 (5%)

20 (4%)

ā€ƒAdvance directives not to hospitalize

ā€ƒā€ƒNo

546 (89%)

116 (88%)

430 (89%)

Fisherā€™s exact

0.078

ā€ƒā€ƒYes

7 (1%)

4 (3%)

3 (1%)

ā€ƒā€ƒDNK

63 (10%)

12 (9%)

51 (10%)

Characteristics of the nursing homes

ā€ƒFrench departments

ā€ƒā€ƒAriĆØge (09)

68 (11%)

22 (17%)

46 (10%)

Fisherā€™s exact

0.039

ā€ƒā€ƒAveyron (12)

26 (4%)

6 (5%)

20 (4%)

ā€ƒā€ƒHaute-Garonne (31)

204 (33%)

36 (27%)

168 (35%)

ā€ƒā€ƒGers (32)

36 (6%)

5 (3%)

31 (6%)

ā€ƒā€ƒHĆ©rault (34)

1 (1%)

1 (1%)

0 (0%)

ā€ƒā€ƒLot (46)

23 (4%)

6 (5%)

17 (4%)

ā€ƒā€ƒHautes-PyrĆ©nĆ©es (65)

88 (14%)

26 (20%)

62 (13%)

ā€ƒā€ƒTarn (81)

125 (20%)

21 (16%)

104 (21%)

ā€ƒā€ƒTarn-et-Garonne (82)

45 (7%)

9 (6%)

36 (7%)

ā€ƒPIU

118 (19%)

30 (23%)

88 (18%)

Chi2

0.239

ā€ƒNumber of beds (mean, SD)

89 (35)

92 (36)

88 (34)

Mann-Whitney

0.112

ā€ƒDistance to the ED in kilometers (mean, SD)

17.52 (13.39)

16.56 (13.71)

17.78 (13.30)

Mann-Whitney

0.208

ā€ƒCoordinating physician

543 (88%)

119 (90%)

424 (88%)

Chi2

0.422

ā€ƒGeriatric nursing assistant

404 (66%)

87 (66%)

317 (65%)

Chi2

0.929

Characteristics of the ED transfer

ā€ƒPeriod of transfer

ā€ƒā€ƒJanuary to March

174 (28%)

33 (25%)

141 (29%)

Chi2

0.412

ā€ƒā€ƒApril to June

153 (25%)

35 (27%)

118 (25%)

ā€ƒā€ƒJuly to September

145 (24%)

37 (28%)

108 (22%)

ā€ƒā€ƒOctober to December

144 (23%)

27 (20%)

117 (24%)

ā€ƒPost-transfer destination

ā€ƒā€ƒDeath

6 (1%)

2 (1%)

4 (1%)

Chi2

<ā€‰0.001

ā€ƒā€ƒBack at nursing home

284 (46%)

88 (67%)

196 (40%)

ā€ƒā€ƒHospitalization

326 (53%)

42 (32%)

284 (59%)

  1. SD Standard deviation, ED Emergency department, ADL Activities of daily living, NA No answer, DNK Do not know, PIU Pharmacy for internal use