Baseline characteristics of adult home care patients in Ontario, September 2014 to October 2016
Characteristic | No. (%) of patients* n = 226 054 |
---|---|
Demographics | |
Age, yr (median Q1, Q3) | 81 (71, 88) |
Sex, female | 83 978 (62.9) |
Lived alone | 110 137 (48.7) |
Health | |
ADL impairment† | |
Independent/supervision | 127 725 (56.5) |
Limited/extensive | 72 220 (32.0) |
Maximal/dependent | 26 109 (11.6) |
Cognitive impairment‡ | |
Intact/borderline intact | 85 613 (37.9) |
Mild/moderate | 121 081 (53.6) |
Severe | 19 360 (8.6) |
Mood symptoms§ | |
No symptoms | 108 918 (48.2) |
Some symptoms | 59 684 (26.4) |
Daily symptoms | 57 452 (25.4) |
Bladder incontinence | 94 535 (41.8) |
Fall in last 90 d | 91 962 (40.7) |
≥ 5 concurrent medications | 189 760 (83.9) |
Congestive heart failure | 29 875 (13.2) |
Chronic obstructive pulmonary disease | 44 209 (19.6) |
Dementia | 58 413 (25.8) |
Frailty index¶ | |
Robust (0–0.19) | 46 043 (20.4) |
Prefrail (0.2–0.29) | 68 562 (30.3) |
Frail (≥ 0.3) | 111 449 (49.3) |
Health-related quality of life score (median Q1, Q3)** | 0.19 (−0.01, 0.42) |
Patient enrolment model | |
Enhanced fee-for-service | 73 150 (28.7) |
Family health team | 75 031 (32.4) |
Other capitation | 64 908 (33.2) |
Other | 8403 (2.0) |
Not enrolled | 4562 (3.7) |
Note: ADL = activities of daily living, Q1 = quartile 1, Q3 = quartile 3.
↵* Unless indicated otherwise.
↵† Measured with the ADL Hierarchy Scale, which includes personal hygiene, locomotion, eating and toileting.
↵‡ Measured with the Cognitive Performance Scale.
↵§ Measured with the Depression Rating Scale.
↵¶ Scores on the frailty index range from 0 to 1, where 0 represents no health deficits and 1 represents all possible health deficits.10
↵** Scores on the Health Utilities Index Mark 3 (HUI3) range from 0 to 1, where 1 represents perfect health and 0 represents dead. The range of the values is −0.36 to 1 with scores less than 0 representing health states considered worse than dead.