Ten-Year Trends and Predictors of Unplanned Hospitalisation in Community-Dwelling Older People Receiving Home-Based Care
Table 4
Detailed characteristics of the care needs and client diagnoses in 170,001 episodes of home-based care, by discharge type, 1 January 2006 to 31 December 2015.
Unplanned hospitalisation
Planned discharge home
Total
n
%
n
%
n
%
Number of episodes
43,608
25.7
126,393
74.3
170,001
100
Number of unique clients
27,985
81,016
94,200
Total hours of home care contact time, median (IQR)§
14.5 (31.3)
5.43 (8.53)
6.74 (12.59)
Source of referral for home-based care
Hospital
19,039
43.7
56,276
44.5
75,315
44.3
Individuals
5,617
12.9
14,751
11.7
20,368
12
Subacute care
7,422
17
20,297
16.1
27,719
16.3
Doctor
4,837
11.1
13,309
10.5
18,146
10.7
Government and referral services
1,007
2.3
5,765
4.6
6,772
4
Palliative care
2,043
4.7
3,935
3.1
5,978
3.5
Residential aged care
486
1.1
1,433
1.1
1,919
1.1
Other
3,157
7.2
10,627
8.4
13,784
8.1
Missing
0
0
0
0
0
0
Carer requirement/availability
Carer not required
7,302
16.7
32,026
25.3
39,328
23.1
No carer (carer required)
10,803
24.8
23,118
18.3
33,921
20
Has informal carer
22,082
50.7
50,112
39.7
72,194
42.5
Missing
3,421
7.8
21137
16.7
24,558
14.5
Number of diagnoses, median (IQR)§
5 (3)
4 (3)
5 (3)
Charlson Comorbidity Index, median (IQR)§
1 (2)
1 (1)
1 (1)
Presence of cognitive dysfunction
6,333
14.52
14,036
11.11
20,369
11.98
ICD-10 chapter
Chapter 1: Certain infectious and parasitic diseases
1,269
2.9
3,108
2.5
4,377
2.6
Chapter 2: Neoplasms
8,823
20.2
20,484
16.2
29,307
17.2
Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
2,238
5.1
4,299
3.4
6,537
3.9
Chapter 4: Endocrine, nutritional, and metabolic diseases
17,065
39.1
43,749
34.6
60,814
35.8
Chapter 5: Mental and behavioural disorders
9,356
21.5
21,990
17.4
31,346
18.4
Chapter 6: Diseases of the nervous system
5,673
13.0
15,167
12.0
20,840
12.3
Chapter 7: Diseases of the eye and adnexa
4,154
9.5
10,199
8.1
14,353
8.4
Chapter 8: Diseases of the ear and mastoid process
1,864
4.3
5,320
4.2
7,184
4.2
Chapter 9: Diseases of the circulatory system
27,056
62.0
69,022
54.6
96,078
56.5
Chapter 10: Diseases of the respiratory system
7,810
17.9
18,431
14.6
26,241
15.4
Chapter 11: Diseases of the digestive system
7,094
16.3
22,659
17.9
29,753
17.5
Chapter 12: Diseases of the skin and subcutaneous tissue
13,191
30.3
28,436
22.5
41,627
24.5
Chapter 13: Diseases of the musculoskeletal system and connective tissue
11,484
26.3
33,756
26.7
45,240
26.6
Chapter 14: Diseases of the genitourinary system
8,446
19.4
18,132
14.4
26,578
15.6
Chapter 15: Pregnancy, childbirth and the puerperium
0
0.0
0
0.0
0
0.0
Chapter 16: Certain conditions originating in the perinatal period
5
0.0
11
0.0
16
0.0
Chapter 17: Congenital malformations, deformations, and chromosomal abnormalities
125
0.3
261
0.2
386
0.2
Chapter 18: Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified
14,631
33.6
40,975
32.4
55,606
32.7
Chapter 19: Injury, poisoning, and certain other consequences of external causes
11,117
25.5
31,067
24.6
42,184
24.8
Chapter 20: External causes of morbidity and mortality
178
0.4
609
0.5
787
0.5
Chapter 21: Factors influencing health status and contact with health services
9,861
22.6
29,994
23.7
39,855
23.4
Chapter 22: Codes for special purposes
0
0.0
0
0.0
0
0.0
§ (Wilcoxon rank sum test); (chi-square test for independent samples).
