From: A comparison of home care quality indicator rates in two Canadian provinces
Unadjusted rates | *Adjusted rates | ||||||
---|---|---|---|---|---|---|---|
Ontario | Winnipeg | Difference | p value | Ontario | Winnipeg | Difference | |
% | % | ||||||
Prevalence HCQIs | n = 102,554 | n = 9,250 | n = 102,554 | n = 9,250 | |||
ADL/rehabilitation potential and not receiving therapy | 66.8 | 91.6 | -24.8 | <0.0001 | - | - | - |
Hospitalization | 38.5 | 27.5 | 11.0 | <0.0001 | 27.4 | 19.6 | 7.8 |
Disruptive or intense daily pain | 35.5 | 35.0 | 0.5 | 0.29 | 35.6 | 35.7 | -0.1 |
Falls | 32.9 | 22.9 | 10.0 | <0.0001 | 34.1 | 25.7 | 8.4 |
No Influenza vaccination | 25.8 | 18.4 | 7.4 | <0.0001 | - | - | - |
Social isolation | 17.4 | 16.5 | 0.9 | 0.03 | 18.8 | 17.4 | 1.4 |
Negative mood | 16.6 | 9.9 | 6.7 | <0.0001 | 18.5 | 12.0 | 6.5 |
Inadequate pain control | 16.4 | 19.4 | -3.0 | 0.11 | 16.8 | 19.2 | -2.4 |
Any injuries | 9.9 | 14.0 | -4.1 | <0.0001 | 10.5 | 15.5 | -5.0 |
Difficulty in locomotion and no assistive device | 9.3 | 10.1 | -0.8 | <0.0001 | 25.2 | 22.9 | 2.3 |
Delirium | 6.6 | 5.1 | 1.5 | <0.0001 | 9.3 | 8.5 | 0.8 |
Weight loss | 5.9 | 3.7 | 2.2 | <0.0001 | 4.0 | 2.6 | 1.4 |
Inadequate meals | 3.1 | 2.3 | 0.8 | <0.0001 | 3.3 | 2.4 | 0.9 |
Neglect or abuse | 3.1 | 1.0 | 2.1 | <0.0001 | 3.8 | 1.3 | 2.5 |
Dehydration | 1.4 | 0.3 | 1.1 | <0.0001 | 0.8 | 0.2 | 0.6 |
No medication review by physician | 1.1 | 1.8 | -0.7 | <0.0001 | - | - | - |
Incidence HCQIs | (n = 14,999) | (n = 841) | (n = 14,999) | (n = 841) | |||
Cognitive decline | 76.3 | 65.4 | 10.9 | <0.0001 | 76.3 | 67.9 | 8.4 |
ADL impairment | 63.7 | 57.6 | 6.1 | 0.0004 | 65.0 | 61.7 | 3.3 |
Bladder incontinence | 56.1 | 46.9 | 9.2 | <0.0001 | 63.3 | 56.5 | 6.8 |
Communication difficulty | 49.7 | 37.0 | 12.7 | <0.0001 | 46.2 | 37.5 | 8.7 |
Impaired locomotion in home | 44.3 | 15.9 | 28.4 | <0.0001 | 53.8 | 22.2 | 31.6 |
Skin ulcers | 8.8 | 3.6 | 5.2 | <0.0001 | 5.5 | 2.4 | 3.1 |