Table 1
Baseline data.
| TOTAL n = 160 | ||
|---|---|---|
| Age, mean (SD) | 84.95 (7.0) | |
| Sex, n (%) | Women, n (%) | 90 (56.3%) |
| Men, n (%) | 70 (43.8%) | |
| Origin, n (%) | Home, n (%) | 145 (90.6%) |
| Nursing home, n (%) | 15 (9.4%) | |
| Barthel index (BI), mean (SD) | 59.34 (25.8) | |
| Frailty index (VIG-Frail), mean (SD) | 0.42 (0.1) | |
| Cognitive status, n (%) | Mild dementia (GDS 4), n (%) | 8 (5.0%) |
| Moderate dementia (GDS 5–6C), n (%) | 90 (56.3%) | |
| Advanced dementia (GDS > 6C), n (%) | 62 (38.8%) | |
| Mean comorbidity, mean (SD) | 6.04 (2.2) | |
| Previously identified as a patient with a complex or advanced chronic condition, n (%) | CCP, n (%) | 64 (40.0%) |
| ACP, n (%) | 13 (8.1%) | |
| No, n (%) | 83 (51.9%) | |
| Existing ICP | Yes, n (%) | 22 (28.6%) |
| No, n (%) | 55 (71.4%) | |
| Patient’s provenance, n (%) | Acute care hospital, n (%) | 81 (54%) |
| A&E/Observation, n (%) | 50 (33.3%) | |
| Place of residence, n (%) | 19 (12.7%) | |
| Reason for hospitalisation | Intercurrent medical condition, n (%) | 83 (55.3%) |
| Behavioural disorder, n (%) | 18 (12%) | |
| Femur fracture, n (%) | 25 (16.7%) | |
| Geriatric syndromes, n (%) | 24 (16%) | |
[i] Abbreviations: SD: Standard deviation, GDS: Global Deterioration Scale, CCN: patients with complex chronic care needs, ACD-LLE: patients with advanced chronic diseases and limited life expectancy, ICP: individualised care plan.
Figure 1
Flow diagram.
Table 2
Use of resources pre and post hospitalisation an IC hospital.
| USE OF HOSPITAL CARE RESOURCES | |||
|---|---|---|---|
| VISITS to ED(6 months pre-hospitalisation) | VISITS to ED (6 months post-discharge) | ||
| NO | YES | p | |
| NO | 47 (75.8%) | 15 (24.2%) | 0.026 |
| YES | 31 (54.4%) | 26 (45.6%) | |
| Intermediate care hospital (6 months pre-hospitalisation) | Intermediate care hospital (6 months post-discharge) | ||
| NO | YES | p | |
| NO | 84 (82.4%) | 18 (17.6%) | 1.000 |
| YES | 17 (100.0%) | 0 (0.0%) | |
| Acute care hospital (6 months pre-hospitalisation) | Acute care hospital (6 months post-discharge) | ||
| NO | YES | p | |
| NO | 82 (84.5%) | 15 (15.5%) | 0.608 |
| YES | 19 (86.4%) | 3 (13.6%) | |
| USE OF PRIMARY CARE RESOURCES | |||
| Visits to Primary Care services | 6 months pre-hospitalisation | 6 months post-discharge | |
| Median (Q1-Q3) | 8 (3.0; 14.0) | 8 (5.0; 15.0) | 0.536 |
[i] Pre–post comparisons were performed using McNemar’s test.
ED: emergency department.
Figure 2
Use of resources pre and post hospitalisation in an IC hospital.