Table 5

Prognostic factors of residential care in older patients discharge alive after an acute emergency department (ED) contact

%, total (n)0–30 days0–360 days
N, (%)Crude SHR
(95% CI)
P valueAdjusted SHR
(95% CI)*
P value%, (n)Crude SHR
(95% CI)
P valueAdjusted SHR (95% CI)*P value
Gender
 Female53.8 (1596) 6.9 (110)1 (ref)1 10.1 (161)11
 Male46.2 (1368) 6.2 (85) 0.90 (0.68 to 1.19)0.460 1.30 (0.95 to 1.78)0.099 8.6 (117) 0.84 (0.66 to 1.06)0.144 1.28 (0.98 to 1.67)0.067
Age 1.09 (1.07 to 1.10) <0.001 1.05 (1.03 to 1.07) <0.001 1.06 (1.05 to 1.07) <0.001 1.03 (1.01 to 1.04) <0.001
Charlson Comorbidity Index
 031.7 (939) 5.6 (53)11 8.5 (80)11
 1–240.9 (1211) 7.1 (86) 1.26 (0.90 to 1.77)0.175 1.03 (0.74 to 1.45)0.849 10.3 (125) 1.22 (0.92 to 1.62)0.161 1.03 (0.77 to 1.39)0.841
 ≥327.4 (814) 6.9 (56) 1.22 (0.84 to 1.77)0.287 0.91 (0.62 to 1.33)0.626 9.0 (73) 1.05 (0.77 to 1.44)0.760 0.76 (0.53 to 1.08)0.122
Living status
 Not alone47.0 (1393) 4.3 (60)11 5.7 (80)11
 Alone50.0 (1540) 8.5 (131) 2.00 (1.48 to 2.70) <0.001 1.21 (0.85 to 1.73)0.295 12.7 (196) 2.29 (1.77 to 2.97) <0.001 1.50 (1.11 to 2.03) 0.009
Urgency
 Less urgent61.0 (1809) 6.2 (112)11 9.12 (165)11
 Urgent37.3 (1107) 7.2 (80) 1.17 (0.88 to 1.55)0.269 1.21 (0.91 to 1.61)0.184 9.8 (108) 1.08 (0.85 to 1.37)0.548 1.12 (0.88 to 1.43)0.358
No of medications
 <537.7 (1116) 6.9 (77)11 9.3 (104)11
 ≥562.3 (1848) 6.4 (118) 0.92 (0.70 to 1.22)0.576 0.71 (0.53 to 0.97) 0.030 9.4 (174) 1.01 (0.79 to 1.28)0.945 0.81 (0.62 to 1.05)0.116
Length of stay
 ED-visit34.1 (1012) 1.1 (11)11 5.6 (57)11
 <48 hours12.9 (382) 0.3 (1) 0.24 (0.03 to 1.86)0.172 0.23 (0.03 to 1.74)0.153 8.1 (31) 1.44 (0.94 to 2.21)0.096 1.43 (0.93 to 2.19)0.104
 ≥48 hours53.0 (1570) 11.7 (183) 11.07 (6.05 to 20.24) <0.001 8.28 (4.49 to 15.24) <0.001 12.1 (190) 2.25 (1.68 to 3.02) <0.001 1.76 (1.30 to 2.39) <0.001
Municipality healthcare
 Independent50.3 (1772) 2.9 (51)11 4.5 (79)11
 Dependent33.9 (1192) 12.1 (144) 4.31 (3.14 to 5.91) <0.001 2.64 (1.82 to 3.82) <0.001 16.7 (199) 3.98 (3.07 to 5.17) <0.001 3.26 (2.34 to 4.54) <0.001
  • Proportions, SHRs, and p-values < 0.05 presented as bold values.

  • *Competing risks regression model adjusted for gender, age as continuous variable, Charlson Comorbidity Index (0, 1–2, ≥3), number of medications (<5, ≥5), length of stay, living alone, urgency level (urgent, less urgent) and municipality healthcare the month before index contact as categorical variable.

  • SHR, sub-HR.