Figure 1
Figure 2
Figure 3
Affected organ system (main diagnosis) of the patients with SW notification
| Intervention period (n = 62) | Control period (n = 58) | |
|---|---|---|
| Infections | 26% | 17% |
| Respiratory system | 19% | 17% |
| Cardiovascular system | 14% | 19% |
| Digestive system | 10% | 7% |
| Neoplasms | 8% | 9% |
| Nervous system | 8% | 5% |
| Genitourinary system | 2% | 7% |
| Others | 13% | 19% |
ADL, IADL and unavailability of help at home
| Intervention period (n = 62) | Control period (n = 58) | p-Value | |
|---|---|---|---|
| PACD total score (M, SD) | 13 (± 4.7) | 13 (± 4.4) | .91 |
| Needs help in general | 77.4% | 74.1% | .68 |
| Help with personal hygiene | 46.8% | 44.8% | .83 |
| Help with dressing/undressing | 37.1% | 31.0% | .48 |
| Help with toileting (urine/defecation) | 19.4% | 20.7% | .86 |
| Help with bathing / showering | 53.2% | 41.4% | .19 |
| Help with mobility | 37.1% | 24.1% | .13 |
| Help with eating / drinking | 14.5% | 15.5% | .88 |
| Help with transfer (bed / chair) | 24.2% | 20.7% | .65 |
| Help with transportation (car / public) | 66.1% | 46.6% | .03 p <.05 |
| Help with shopping | 71.0% | 50.0% | .02 p <.05 |
| Help with cooking | 59.7% | 50.0% | .29 |
| Help with house keeping | 69.4% | 63.8% | .52 |
| Help with medication management | 45.2% | 44.8% | .97 |
| Unavailability of help at home | 45.9% | 54.1% | .20 |
| Help with transfer on day 3 | 56.1% | 34.0% | .02 p <.05 |
| Help with bathing / showering on day 3 | 84.2% | 71.7% | .11 |
Unadjusted time to SW notification, hospital length of stay and delayed discharge time in nights
| Intervention period (n = 62) | Control period (n = 58) | p-Value | |||
|---|---|---|---|---|---|
| Median | IQR | Median | IQR | ||
| Time to SW notification | 1.2 | 1.9 | 1.7 | 2.4 | .42 |
| Hospital length of stay | 10.0 | 8.9 | 9.1 | 6.4 | .41 |
| Delayed discharge time | 0.0 | 2.5 | 0.0 | 1.4 | .39 |
GEE Results for the dependent variable: length of stay
| Model adjusted for calendar days, help with transportation, help with shopping (day 1), and help with transfer (day 3) | ||||||
|---|---|---|---|---|---|---|
| day 1 adjusted (n=120) | day 1 & 3 adjusted (n=110) | |||||
| ß | CI (95%) | p-Value | ß | CI (95%) | p-Value | |
| Intervention | .001 | -.358 to .360 | .995 | -.119 | -.460 to .221 | .492 |
| Control | - | - | Referent | - | - | Referent |
| Calendar days | .004 | -.003 to .010 | .298 | .004 | -.022 to .011 | .180 |
| No help with transportation | -.140 | -.377 to .096 | .246 | -.088 | -.296 to .120 | .408 |
| Help with transportation | - | - | Referent | - | - | Referent |
| No help with shopping | .239 | -.028 to .506 | .079 | .159 | -.055 to .373 | .145 |
| Help with shopping | - | - | Referent | - | - | Referent |
| No help with transfer day 3 | - | - | - | .009 | -.211 to .228 | .939 |
| Help with transfer day 3 | - | - | - | - | - | Referent |
GEE Results for the dependent variable: discharge delay
| Model adjusted for calendar days, help with transportation, help with shopping (day 1), and help with transfer (day 3) | |||||||
|---|---|---|---|---|---|---|---|
| day 1 adjusted (n=120) | day 1 & 3 adjusted (n=110) | ||||||
| ß | CI (95%) | p-Value | ß | CI (95%) | p-Value | ||
| Intervention | .090 | -.560 to .740 | .786 | .110 | -.637 to .857 | .773 | |
| Control | - | - | Referent | - | Referent | ||
| Calendar days | .005 | -.009 to .019 | .498 | .003 | -.013 to .019 | .713 | |
| No help with transportation | -.722 | -1.231 to -.214 | .005 | -.764 | -1.312 to -.217 | .006 | |
| Help with transportation | - | - | Referent | - | - | Referent | |
| No help with shopping | .798 | .295 to 1.300 | .002 | .689 | .122 to 1.256 | .017 | |
| Help with shopping | - | - | Referent | - | - | Referent | |
| No help with transfer day 3 | - | - | - | .084 | -.314 to .482 | .680 | |
| Help with transfer day 3 | - | - | - | - | - | Referent | |
Admission from and discharge to places for patients notified to SW services
| (n=120) | Admitted from Chi2, p = 0.57 exact test | Discharged to Chi2, p = 0.97 exact test | ||
|---|---|---|---|---|
| Intervention | Control | Intervention | Control | |
| Home | 82.3% | 70.7% | 17.8% | 15.5% |
| Home with home care service | 11.3% | 20.7% | 24.2% | 24.1% |
| Geriatric home, other social medical institutions | 0% | 1.7% | 6.5% | 8.6% |
| Nursing home | 1.6% | 1.7% | 20.9% | 22.5% |
| Rehabilitation | NA | 25.8% | 22.4% | |
| Psychiatric clinic | 0% | 1.7% | NA | |
| Acute hospital | NA | 1.6% | 1.7% | |
| Others | 4.8% | 3.5% | 3.2% | 5.2% |
GEE Results for the dependent variable: SW notification
| Model adjusted for calendar days, help with transportation, help with shopping (day 1), and help with transfer (day 3) | ||||||
|---|---|---|---|---|---|---|
| day 1 adjusted (n = 120) | day 1 & 3 adjusted (n = 110) | |||||
| ß | CI (95%) | p-Value | ß | CI (95%) | p-Value | |
| Intervention | -.548 | -1.155 to .060 | .077 | -.736 | -1.387 to -.085 | .027 |
| Control | - | - | Referent | - | - | Referent |
| Calendar days | .010 | -.003 to .022 | .142 | .009 | -.005 to 0.22 | .212 |
| No help with transportation | .127 | -.418 to .671 | .648 | .052 | -.475 to .580 | .846 |
| Help with transportation | - | Referent | - | - | Referent | |
| No help with shopping | .003 | -.586 to .591 | .993 | -.148 | -.656 to .361 | .570 |
| Help with shopping | - | - | Referent | - | - | Referent |
| No help with transfer day 3 | - | - | - | .165 | -.281 to .611 | .469 |
| Help with transfer day 3 | - | - | - | - | - | Referent |