Community Stepdown Care: A Safe Alternative for Selected Elderly Patients Attending Emergency Department?

Table 5

Comparison of secondary outcomes.

Secondary outcome variables; (𝑛 = total no. of cases)	% of acute hospital group (absolute no.)	% of community hospital group (absolute no.)	Unadjusted OR^1; (95% CI)	Adjusted OR^2; (95% CI)	Adjusted; 𝑃 value
Complication rates^3 (𝑛=29)	10.49% (17)	17.65% (12)	1.47 (0.64–3.40)	1.49 (0.62–3.61)	0.37
Discharged home; (𝑛=201)	83.95%; (136)^4	95.59% (65)^5	4.14 (1.21–14.19)	4.11 (1.17–14.45)	0.03
Discharged to nursing home (𝑛=3)	1.23% (2)	1.47% (1)	1.19 (0.11–13.39)	1.25 (0.10–15.47)	0.86

¹Acute hospital cohort = 0, community hospital cohort = 1.
²Controlled for age, gender, diagnosis, and co-morbidities.
³Refers to sepsis and gastrointestinal bleeding only (there was no cases of pulmonary embolism or deep venous thrombosis).
⁴24 out of 162 patients in the acute hospital cohort was discharged to a community hospital or rehabilitation facility. Records of 2 patients were unavailable.
⁵Records of 2 patients were unavailable.