title: [Factors associated with hospitalization in a cohort of elderly patients included in a home care program].
abstract: OBJECTIVE
  The objective is to identify the features associated with next year hospital admissions among elderly dependent patients living at home (EDLH) and visited by primary care teams at their home setting.
  
  
  METHODS
  Longitudinal cohort study of a sample of EDLH patients admitted to a home care programme delivered by 72 primary care teams. A global health assessment was performed at recruitment in all patients (health and social status, informal and formal carer characteristics and burden of care). We further collected data on visits by primary care personnel and the use of social, emergency and hospital services by EDLH patients throughout one year after recruitment.
  
  
  RESULTS
  A sample of 1,093 EDLH patients was included. 258 (23,6%) patients were admitted to hospital during follow-up and 170 (15.6%) were lost to follow-up. Hospitalised patients received the same volume of primary care and social care services at home than those that were not hospitalised. Independent predictors of high risk of hospital admission were calling and using the after-hours emergency community services (odds ratio [OR]= 2.50, 95% confidence interval [95% CI] 1.56-4.01) and comorbidity as measured by the Charlson Index (OR= 1.16, 95% CI 1.06-1.27) at recruitment. Similarly, female sex (OR= 0.59, 95% CI 0.40-0.85) and high subjective physical health status scores as measured by the SF12 questionnaire (OR 0.97, 95% CI 0.95-0.99) predicted a low-risk of hospital admission.
  
  
  CONCLUSIONS
  Hospital admission among EDLH patients is related to comorbidity, gender, subjective health status and the use of uncoordinated emergency services as measured at recruitment, rather than to the use of services during the one-year follow-up.
authors.affiliation: CAPSE, Consorcio de Atención Primaria de Salud del Eixample, Barcelona, España. jgene@clinic.ub.es
authors.forename: Joan
authors.initials: J
authors.lastname: Gené Badia
authors.forename: Alícia
authors.initials: A
authors.lastname: Borràs Santos
authors.forename: Joan Carles
authors.initials: JC
authors.lastname: Contel Segura
authors.forename: Carlos
authors.initials: C
authors.lastname: Ascaso Terén
authors.forename: María
authors.initials: M
authors.lastname: González Ortega
authors.forename: Pedro
authors.initials: P
authors.lastname: Gallo De Puelles
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D015897:Comorbidity; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006299:Health Services for the Aged / Q000592:standards; D006304:Health Status; D006699:Home Care Services / Q000592:standards; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D011320:Primary Health Care / Q000592:standards; D011785:Quality Assurance, Health Care; D012737:Sex Factors