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Table 1 Demographics, indicator variables and health outcomes by class (N = 752)

From: The heterogeneous health state profiles of high-risk healthcare utilizers and their longitudinal hospital readmission and mortality patterns

 

Total (N = 752)

Class 1: Frail, cognitively impaired, physically dependent (N = 103, 13.7%)

Class 2: Pre-frail but largely physically independent (N = 323, 43%)

Class 3: Physically independent (N = 326, 43.3%)

P-value

Demographics

 Age (year)

    

<  0.001

  > 65 years

511 (68)

93 (90.3)

271 (83.9)

147 (45.1)

 

  ≤ 65 years

241 (32)

10 (9.7)

52 (16.1)

179 (54.9)

 

 Range

20, 98

30, 98

35, 97

20, 95

 

Gender, n (%)

    

0.018

 Female

394 (52.4)

66 (64.1)

171 (52.9)

157 (48.2)

 

 Male

358 (47.6)

37 (35.9)

152 (47.1)

169 (51.8)

 

Race, n (%)

    

0.039

 Chinese

588 (78.2)

78 (75.7)

268 (83.0)

242 (74.2)

 

 Indian

69 (9.2)

10 (9.7)

28 (8.7)

31 (9.5)

 

 Malay

77 (10.2)

10 (9.7)

24 (7.4)

43 (13.2)

 

 Others

18 (2.4)

5 (4.9)

3 (0.9)

10 (3.1)

 

Indicator variables

 Religion, n (%)

    

<  0.001

  No

234 (31.1)

31 (30.1)

76 (23.5)

127 (39.0)

 

  Yes

518 (68.9)

72 (69.9)

247 (76.5)

199 (61.0)

 

 Medicine consolidation issues, n (%)

    

0.006

  No

673 (89.5)

89 (86.4)

279 (86.4)

305 (93.6)

 

  Yes

79 (10.5)

14 (13.6)

44 (13.6)

21 (6.4)

 

 Quality of family support, n (%)

    

<  0.001

  Absent

48 (6.4)

2 (1.9)

11 (3.4)

35 (10.7)

 

  Dysfunctional

11 (1.5)

1 (1.0)

9 (2.8)

1 (0.3)

 

  Distant

35 (4.7)

2 (1.9)

18 (5.6)

15 (4.6)

 

  Supportive

658 (87.5)

98 (95.1)

285 (88.2)

275 (84.4)

 

 Employment, n (%)

    

<  0.001

  Unemployed

537 (71.4)

95 (92.2)

307 (95.0)

135 (41.4)

 

  Retired

30 (4.0)

5 (4.9)

9 (2.8)

16 (4.9)

 

  Employed

185 (24.6)

3 (2.9)

7 (2.2)

175 (53.7)

 

 Clinical insight, n (%)

    

0.003

  No

45 (6.0)

5 (4.9)

30 (9.3)

10 (3.1)

 

  Yes

707 (94.0)

98 (95.1)

293 (90.7)

316 (96.9)

 

 ADL, n (%)

    

<  0.001

  Dependent

46 (6.1)

46 (44.7)

0

0

 

  Moderate Assist

56 (7.4)

46 (44.7)

10 (3.1)

0

 

  Minimal Assist

121 (16.1)

11 (10.7)

108 (33.4)

2 (0.6)

 

  Independent

529 (70.3)

000

205 (63.5)

324 (99.4)

 

 AMT, n (%)

    

<  0.001

  0–6 point(s)

136 (18.1)

79 (76.7)

52 (16.1)

5 (1.5)

 

  7–10 points

616 (81.9)

24 (23.3)

271 (83.9)

321 (98.5)

 

 CFS, n (%)

    

<  0.001

  1–3 point(s)

322 (42.8)

0

27 (8.4)

295 (90.5)

 

  4–5 points

292 (38.8)

9 (8.7)

253 (78.3)

30 (9.2)

 

  6–8 points

138 (18.4)

94 (91.3)

43 (13.3)

1 (0.3)

 

 CCI score, n (%)

    

<  0.001

  0 points

39 (5.2)

2 (1.9)

0

37 (11.3)

 

  1 point

53 (7.0)

3 (2.9)

0

50 (15.3)

 

  2 points

63 (8.4)

1 (1.0)

10 (3.1)

52 (16.0)

 

   ≥ 3 points

597 (79.4)

97 (94.2)

313 (96.9)

187 (57.4)

 

Health outcomes

 Hospital readmission n (%)

  30 days

112 (14.9)

18 (17.5)

59 (18.3)

35 (10.7)

0.027

  90 days

182 (24.2)

35 (34.0)

86 (26.6)

61 (18.7)

0.004

 Mortality, n (%)

  30 days

22 (2.9)

7 (6.8)

12 (3.7)

3 (0.9)

0.005

  90 days

56 (7.4)

22 (21.4)

27 (8.4)

7 (2.1)

<  0.001

  1. Abbreviations – ADL Activities of Daily Living, AMT Abbreviated Mental Test, CFS Clinical Frailty Score, CCI Charlson Comorbidity Index