Patient Characteristics | All Patients (n = 11,840), No. (%) | History of After-Hours Care Use (n = 2,550), No. (%) | No History of After-Hours Care Use (n = 9,290), No. (%) |
---|---|---|---|
Demographics | |||
Age, median (IQR), y | 77 (65-86) | 77 (66-87) | 76 (64-85) |
Sex, female | 6,048 (51) | 1,356 (53) | 4,692 (51) |
Living alone | 4,432 (37) | 886 (35) | 3,546 (38) |
Health | |||
ADL impairmenta | |||
Independent/Supervision | 6,345 (54) | 1,208 (47) | 5,137 (55) |
Limited/Extensive | 3,624 (31) | 774 (30) | 2,850 (31) |
Maximal/Dependent | 1,871 (16) | 568 (22) | 1,303 (14) |
Cognitive impairmentb | |||
Intact/Borderline intact | 5,438 (46) | 1,117 (44) | 4,321 (47) |
Mild/Moderate | 5,687 (48) | 1,213 (48) | 4,474 (48) |
Severe | 715 (6) | 220 (9) | 495 (5) |
Frailty indexc | |||
Robust (0-0.19) | 2,420 (20) | 450 (18) | 1,970 (21) |
Pre-frail (0.2-0.29) | 3,106 (26) | 593 (23) | 2,513 (27) |
Frail (≥0.3) | 6,314 (53) | 1,507 (59) | 4,807 (52) |
Depressive symptoms | 6,615 (56) | 1,477 (58) | 5,138 (55) |
Aggressive behaviors | 1,144 (10) | 276 (11) | 868 (9) |
Fall in last 90 days | 4,823 (41) | 1,008 (40) | 3,815 (41) |
Bladder incontinence | 4,147 (35) | 1,009 (40) | 3,138 (34) |
Current medications (≥5) | 10,399 (88) | 2,265 (89) | 8,134 (88) |
Dementia | 1,832 (15) | 445 (17) | 1,387 (15) |
Clinical need indicators | |||
Wound care | 5,338 (45) | 1,177 (46) | 4,161 (45) |
Intravenous medications | 1,116 (9) | 206 (8) | 910 (10) |
Indwelling urinary catheter | 2,029 (17) | 422 (17) | 1,607 (17) |
Congestive heart failure | 2,262 (19) | 498 (20) | 1,764 (19) |
Chronic obstructive pulmonary disease | 3,096 (26) | 652 (26) | 2,444 (26) |
ADL = activities of daily living; IQR = interquartile range.
↵a ADL Hierarchy Scale: Includes personal hygiene, locomotion, eating, and toileting.
↵b Cognitive performance scale
↵c Scores on the frailty index range from 0 to 1, where 0 represents no health deficits and 1 represents all possible health deficits.