From: Critical illness among patients experiencing homelessness: a retrospective cohort study
Variable | Cohort (n = 47,848) | Homeless (n = 1086) | Stable Housing (n = 46,762) | Crude OR/mean difference (95% CI) | Adjusted OR/mean differencea (95% CI) |
---|---|---|---|---|---|
Processes of care, n (%) | |||||
Invasive ventilation n (%) | 20,471 (42.4) | 695 (63.0) | 19,776 (41.9) | 2.3 (2.1 to 2.6) | 1.5 (1.3 to 1.8) |
Invasive ventilation median hours (IQR)* | 23.4 (8.2–80.6) | 40.1 (16.5–116.6) | 22.9 (7.9–79.0) | 23.0 (10.9 to 35.2) | 0.9 (− 11.1 to 12.9) |
Noninvasive ventilation n (%) | 3613 (7.5) | 76 (6.9) | 3537 (7.5) | 0.9 (0.7 to 1.2) | 0.7 (0.6 to 0.9) |
Noninvasive ventilation, median hours (IQR)* | 17.2 (6.3–46.9) | 21.2 (5.2–55.6) | 17.2 (6.3–46.7) | − 0.3 (− 16.3 to 15.8) | − 2.5 (− 18.6 to 13.5) |
Vasoactive medications n (%) | 16,531 (34.3) | 414 (37.5) | 16,117 (34.2) | 0.1 (0.0 to 0.3) | 1.0 (0.9 to 1.1) |
Vasoactive medications median minutes (IQR)* | 1419.0 (596.0–2915.0) | 1647.0 (811.0–3440.0) | 1416.5 (591.5–2899.5) | 92.7 (− 103.3 to 288.6) | − 127.4 (− 321.9 to 67.2) |
CRRT n (%) | 1335 (2.8) | 38 (3.4) | 1297 (2.8) | 1.3 (0.9 to 1.8) | 0.7 (0.5 to 1.0) |
CRRT Median hours (IQR)* | 65.4 (27.0–140.1) | 85.6 (24.1–141.4) | 65.3 (27.1–140.0) | − 5.4 (− 52.5 to 41.6) | − 5.7 (− 53.0 to 41.6) |
Healthcare resource utilization, n (%) | |||||
Length of ICU stay, median (IQR) | 2.7 (1.4–4.8) | 3.4 (1.7–6.7) | 2.6 (1.4–4.8) | 1.5 (1.1 to 1.9) | 0.5 (0.1 to 0.9) |
Length of hospital stay, median (IQR) | 6.6 (3.3–14.0) | 9.9 (4.2–25.0) | 6.5 (3.3–14.0) | 12.8 (11.3 to 14.4) | 10.1 (8.6 to 11.6) |
ED visit within 30 days post-hospital discharge | 10,957 (22.9) | 401 (36.9) | 10,556 (22.6) | 2.0 (1.8 to 2.3) | 2.3 (2.0 to 2.6) |
Hospital readmission within 30 days post-hospital discharge | 7693 (16.1) | 293 (27.0) | 7400 (15.8) | 2.0 (1.7 to 2.3) | 2.1 (1.8 to 2.4) |
Safety of care outcomes | |||||
Hospital adverse event n (%) | 11,392 (23.8) | 271 (25.0) | 11,121 (23.8) | 1.1 (0.9 to 1.2) | 1.1 (0.9 to 1.2) |
ICU mortality n (%) | 3700 (7.7) | 60 (5.5) | 3640 (7.8) | 0.7 (0.5 to 0.9) | 0.5 (0.4 to 0.6) |
Hospital mortality n (%) | 5235 (10.9) | 89 (8.2) | 5146 (11.0) | 0.7 (0.6 to 0.9) | 0.5 (0.4 to 0.7) |