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Table 3 Main and secondary outcomes

From: Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: a prospective controlled trial

 

Intervention

(n = 122)

Control

(n = 179)

P

Hospitalizations

  No hospitalizationb

50/122 (41.0%)

73/179 (40.1%)

 

  One to three hospitalizationsb

66/122 (54.1%)

95/179 (53.1%)

 

  Four or more hospitalizationsb

6/122 (4.9%)

11/179 (6.1%)

 

 One-year rate of first hosp.a, b

53.6 (43.9 to 63.3)

55.4 (47.0 to 63.8)

0.78

 Two-year rate of first hosp.a, b

67.8 (58.1 to 77.4)

82.3 (72.6 to 92.1)

0.04

 Three-year rate of first hosp.a, b

69.8 (59.9 to 79.6)

87.6 (78.2 to 97.0)

0.01

 Length of stay (days)c

37.5 (18.8 to 84.0)

51.0 (26.3 to 93.5)

0.18

 Reasons for hospitalizationsd

  

0.03

  Falls

28/122 (23.0%)

29/205 (14.1%)

0.06

  Fracture

6/122 (4.9%)

8/205 (3.9%)

0.20

  Acute medical problem

80/122 (65.6%)

132/205 (64.4%)

0.92

  Psychiatric problem

3/122 (2.5%)

12/205 (5.9%)

0.18

  Unnecessary

5/122 (4.1%)

24/205 (11.7%)

0.03

Emergency room visit (ERV)

 At least one ERV

8/122 (6.6%)

26/179 (14.5%)

0.04

 One-year rate of first ERVa

8.3 (2.6 to 13.9)

13.4 (7.8 to 19.0)

0.21

 Two-year rate of first ERVa

8.3 (2.6 to 13.9)

17.8 (10.3 to 25.2)

0.045

 Three-year rate of first ERVa

8.3 (2.6 to 13.9)

23.2 (13.1 to 33.3)

0.01

 Reasons for consultatione

  

0.28

  Falls

5/8 (62.5%)

10/34 (29.4%)

0.11

  Unnecessary

0/8 (0.0%)

8/34 (23.5%)

0.32

  Acute medical problem

3/8 (37.5%)

15/34 (44.1%)

1

  Psychiatric

0/8 (0.0%)

1/34 (2.9%)

1

Institutionalization

 One-year rate of placementa

11.2 (5.1 to 17.2)

10.3 (5.3 to 15.4)

0.83

 Two-year rate of placementa

21.6 (12.9 to 30.4)

28.2 (18.4 to 37.9)

0.33

 Three-year rate of placementa

39.4 (25.1 to 53.6)

31.8 (21.3 to 42.3)

0.40

Mortality

 One-year mortalitya

9.4 (3.8 to 15.1)

15.0 (8.9 to 21.1)

0.19

 Two-year mortalitya

17.9 (8.9 to 27.0)

33.7 (23.1 to 44.3)

0.03

 Three-year mortalitya

20.4 (10.4 to 30.3)

33.7 (23.1 to 44.3)

0.07

Place of death

 At home

8/18 (44.4%)

5/34 (14.7%)

0.04

  1. acumulative incidences are expressed in percentage and reported with 95% confidence intervals
  2. bthe rate of first hospitalization rate were assessed using Kaplan-Meier’s approach to account for varying length of follow-up across patients, while the reported percentages of with no, one to three and four or more hospitalizations did not account for length of follow-up and were only descriptive statistics
  3. cincludes hospitalization in internal medicine and geriatrics and rehabilitation
  4. dpercentages of the number of hospitalizations, epercentages of the number of visits