Article Figures & Tables
Figures
- Figure 1:
Flow of patients through the study.
- Figure 2:
Kaplan–Meier curves for time to readmission for patients by attendance at a primnary care appointment. Models were adjusted for age, sex, Charlson Comorbidity Index, length of stay, and visits to the emergency department in the previous 6 months. Error bars indicate 95% confidence intervals.
Tables
- Table 1:
Baseline characteristics of discharged medical patients categorized by attendance at primary care appointments
Characteristic All patients
n = 214Attendance at PCP appointment No
n = 90 (42%)Yes
n = 124 (58%)Unadjusted OR (95% CI) Age, yr, mean ± SD 70 ± 16 68 ± 18 71 ± 15 1.01 (0.99–1.03) Male sex 122 (57) 47 (52) 75 (60) 1.40 (0.81–2.42) Discharge diagnosis CHF 40 (19) 20 (22) 20 (16) 0.67 (0.34–1.34) CAP 18 (8.4) 8 (8.9) 10 (8.1) 0.90 (0.34–2.38) COPD 16 (7.5) 4 (4.4) 12 (9.7) 2.30 (0.72–7.39) Charlson Comorbidity Index, mean ± SD 2.6 ± 2.0 2.5 ± 2.0 2.7 ± 2.0 1.04 (0.91–1.19) Length of stay, d, mean ± SD (median) 8.6 ± 9.4 (6) 9.4 ± 9.6 (6) 8.0 ± 9.2 (5) 0.98 (0.96–1.01) ED visits in previous 6 mo, mean ± SD 1.0 ± 1.9 1.3 ± 2.4 0.9 ± 1.4 0.89 (0.77–1.04) Cognitive impairment or psychiatric diagnosis 92 (43) 43 (48) 49 (40) 0.71 (0.41–1.24) Language barrier 83 (39) 37 (41) 46 (37) 0.84 (0.48–1.47) Social isolation 24 (11) 7 (7.8) 17 (14) 1.88 (0.75–4.75) Mobility impairment 100 (47) 46 (51) 54 (44) 0.74 (0.43–1.27) Presence of a home support worker 134 (63) 62 (69) 72 (58) 0.63 (0.35–1.11) Primary care appointment booked before discharge 109 (51) 36 (40) 73 (59) 2.15 (1.24–3.73) Received booking help from transitional care specialist 105 (51) 38 (42) 68 (55) 1.61 (0.93–2.78) Familiar primary care provider 166 (78) 62 (69) 104 (84) 2.35 (1.22–4.52) Requested a new primary care provider 58 (27) 25 (28) 33 (27) 0.94 (0.51–1.73) Specialist appointment booked before discharge 61 (29) 36 (40) 25 (12) 0.38 (0.21–0.70) Weekend discharge 26 (12) 10 (11) 16 (13) 1.19 (0.51–2.75) Provided no instructions regarding primary care follow-up 42 (19) 21 (23) 21 (17) 0.67 (0.34–1.32) Recommended primary care follow-up only 111 (52) 47 (52) 64 (52) 0.98 (0.57–1.68) Recommended primary care follow-up and provided time but no callback number 41 (19) 17 (19) 24 (19) 1.03 (0.52–2.06) Recommended primary care follow-up and provided callback number but no appointment time 8 (3.7) 4 (4.4) 4 (3.2) 0.72 (0.17–2.95) Recommended primary care follow-up and provided both callback number and time 12 (5.6) 1 (1.1) 11 (8.8) 8.66 (1.1–68.32) Note: CAP = community acquired pneumonia, CHF = congestive heart failure, CI = confidence interval, COPD = chronic obstructive pulmonary disease, ED = emergency department, OR = odds ratio, PCP = primary care physician, SD = standard deviation.
- Table 2:
Factors associated with attendance at postdischarge primary care appointment after stepwise regression,* adjusted for age, sex and Charlson Comorbidity Index
Factor Adjusted OR (95% CI) Age 1.01 (0.98–1.03) Male sex 1.20 (0.62–2.33) Charlson Comorbidity Index 1.07 (0.91–1.26) Presence of a home support worker 0.38 (0.17–0.80) Pimary care appointment booked before discharge 2.14 (1.07–4.40) Familiar primary care provider 5.43 (2.25–14.1) Specialist appointment booked before discharge 0.37 (0.18–0.73) Discharge summary Recommended primary care follow-up only† 1.00 (0.44–2.25) Recommended primary care follow-up and provided time but no callback number† 0.79 (0.27–2.28) Recommended primary care follow-up and provided callback number but no appointment time† 0.97 (0.17–5.53) Recommended primary care follow-up and provided both callback number and time† 15.3 (2.09–326) - Table 3:
Results of Cox proportional hazards model for readmission for patients by attendance at primary care follow-up
Factor HR (95% CI) p value Attended primary care appointment 0.66 (0.40–1.09) 0.1 Age 1.00 (0.76–1.31) 0.96 Male sex 0.92 (0.54–1.56) 0.8 Length of stay 1.04 (0.83–1.31) 0.7 Charlson Comorbidity Index 1.01 (0.79–1.30) 0.9 ED visits in past 6 mo 1.30 (1.08–1.56) 0.005 Note: CI = confidence interval, ED = emergency department, HR = hazard ratio.
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