Table 3

Health service use among community-dwelling older adults with dementia compared with matched* persons without dementia between 1 April 2007 to 31 March 2014 in Ontario, Canada

Persons with dementia
N=62 622
Rate per person-year
(95% CI)
Persons without dementia*
N=62 622
Rate per person-year
(95% CI)
Rate ratio
(95% CI)
P value
Death9.5 (9.4 to 9.6)5.3 (5.2 to 5.4)1.80 (1.76 to 1.84)<0.0001
Long-term care placement15.0 (14.8 to 15.2)2.1 (2.1 to 2.2)7.07 (6.89 to 7.27)<0.0001
Health service use
 Dementia specialist visits1.70 (1.70 to 1.71)0.41 (0.41 to 0.41)4.11 (3.95 to 4.28)<0.0001
 Home care visits65.2 (65.2 to 65.3)21.8 (21.8 to 21.8)3.02 (2.94 to 3.11)<0.0001
 Acute care hospitalisations with discharge delay0.10 (0.10 to 0.10)0.04 (0.04 to 0.04)2.36 (2.30 to 2.42)<0.0001
 Acute care hospitalisations0.40 (0.39 to 0.40)0.31 (0.31 to 0.31)1.29 (1.27 to 1.31)<0.0001
 Family physician visits13.4 (13.3 to 13.4)10.9 (10.9 to 10.9)1.25 (1.24 to 1.27)<0.0001
 Emergency department visits1.0 (1.0 to 1.0)0.87 (0.87 to 0.88)1.23 (1.21 to 1.25)<0.0001
  • *Control group with no documented history of dementia on 1 April 2007 matched 1:1 on age, sex and Aggregated Diagnosis Group category (0, 1–5, 6–10, 11+).