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Table 1 Characteristics of the study population according to SPICT assessment

From: SPICT as a predictive tool for risk of 1-year health degradation and death in older patients admitted to the emergency department: a bicentric cohort study in Belgium

 

Total

n = 352

SPICT-

n = 185

SPICT+

n = 167

p-value

n (%) or mean (± SD)

n (%) or mean (± SD)

n (%) or mean (± SD)

Sociodemographics

Gender, male

Mean Age, years

Age, 85+

Being in partnership

Living in Nursing home

Living at Home

Primary education or less

Receiving formal or informal care

150 (42.6)

83.2 (± 5.5)

143 (40.6)

172 (49.0)

24 (6.8)

318 (90.3)

36 (10.3)

302 (85.8)

78 (42.2)

82.5 (± 5.6)

64 (34.6)

96 (51.9)

4 (2.2)

177 (95.7)

17 (9.2)

152 (82.2)

72 (43.1)

84.0 (± 5.2)

79 (47.3)

76 (45.8)

20 (12.0)

141 (84.4)

19 (11.5)

150 (89.8)

0.86

0.008

0.015

0.25

0.000

0.000

0.48

0.04

Functional characteristics

ADL total score 2 weeks before admission in ED

iADL total score 2 weeks before admission in ED

Falls during previous year

1.4 (± 0.6)

4.4 (± 2.1)

159 (45.4)

1.2 (± 0.2)

5.4 (± 1.6)

70 (38.3)

1.7 (± 0.7)

3.3 (± 2.0)

89 (53.3)

0.000

0.000

0.005

Principal diagnosis at admission

Abnormal signs, Chap. 18*

Circulatory system, Chap. 9*

Injury and other consequences

of external causes, Chap. 19*

Digestive system, Chap. 11*

Comorbidities (≥ 2 diseases)

Medication

81 (23.0)

67 (19.0)

52 (14.8)

33 (9.4)

170 (48.6)

7.2 (± 4.1)

41 (22.2)

29 (15.7)

33 (17.8)

22 (11.9)

66 (36.1)

6.0 (± 3.4)

40 (24.0)

38 (22.8)

19 (11.4)

11 (6.6)

104 (62.3)

8.4(± 4.4)

0.69

0.09

0.08

0.08

0.000

0.000

Hospitalised

Medical

Geriatric

Surgical

Middle care Stroke unite

ICU

Palliative

169 (48.0)

76 (45.0)

51 (30.2)

23 (13.6)

10 (5.9)

9 (5.3)

0

57 (30.8)

32 (56.1)

6 (10.5)

12 (21.1)

5 (8.8)

2 (3.5)

0

112 (67.1)

44 (39.3)

45 (40.2)

11 (9.8)

5 (4.5)

7 (6.3)

0

0.000

Wishes for end-of-life care known

Availability results of ACP at the ED

Treatment limitation during ED stay

8 (2.3)

0 (0.0)

11 (3.1)

0 (0.0)

0 (0.0)

1 (0.5)

8 (4.8)

0 (0.0)

10 (6.0)

0.003

-

0.003

6 months mortality

1-year mortality

59 (17.4)

75 (22.7)

11 (6.1)

17 (9.8)

48 (30.0)

58 (36.9)

0.000

0.000

Health degradation after 1 year

No degradation

Degradation

Death

(n = 304)

145 (47.7)

84 (27.6)

75 (24.7)

(n =160)

105 (65.6)

38 (23.8)

17 (10.6)

(n = 144)

40 (27.8)

46 (31.9)

58 (40.3)

0.000

  1. *Principal diagnosis at admission using the ICD10 classification, ADL: Activity of daily living, range 0–6, high score = high dependency [31], iADL: instrumental activity of daily living, range 0–7 high score = independency [32], p-value assessed by t-test for continuous variables, Chi-squared test for categorical variables