Research
Unplanned index hospital admissions among new older high-cost health care users in Ontario: a population-based matched cohort study
Sergei Muratov, Justin Lee, Anne Holbrook, J. Michael Paterson, Jason R. Guertin, Lawrence Mbuagbaw, Tara Gomes, Wayne Khuu, Priscila Pequeno and Jean-Eric Tarride
August 25, 2019 7 (3) E537-E545; DOI: https://doi.org/10.9778/cmajo.20180185
Sergei Muratov
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
MD PhDJustin Lee
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
ACPR MDAnne Holbrook
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
MD MScJ. Michael Paterson
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
MScJason R. Guertin
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
PhDLawrence Mbuagbaw
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
MD PhDTara Gomes
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
PhDWayne Khuu
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
MPHPriscila Pequeno
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
MScJean-Eric Tarride
Department of Health Research Methods, Evidence, and Impact (Muratov, Lee, Holbrook, Mbuagbaw, Tarride) and Divisions of Geriatric Medicine (Lee) and Clinical Pharmacology and Toxicology (Holbrook), Department of Medicine, McMaster University, Hamilton, Ont.; ICES (Paterson, Gomes, Khuu, Pequeno), Toronto, Ont.; Département de médecine sociale et préventive (Guertin), Faculté de médecine, and Centre de recherche du Centre hospitalier universitaire de Québec (Guertin), Axe Santé des populations et pratiques optimales en santé, Université Laval, Québec, Que.; Li Ka Shing Knowledge Institute (Gomes), St. Michael’s Hospital, Toronto, Ont.; Centre for Health Economics and Policy Analysis (Tarride) and Department of Family Medicine (Paterson), McMaster University, Hamilton, Ont.
PhDOnline appendices
Files in this Data Supplement:
- Appendix 1: Description of independent predictors
- Appendix 2: Supplemental statistical and sensitivity analysis
- Appendix 3: Predictive accuracy of the models
- Appendix 4: Predictors of unplanned index hospitalization for top most expensive 5 conditions among senior HCUs
- Reviewer comments
- Original submission
- STROBE statement