Table 2

Patient characteristics (n=1066)

DemographicsNumber (%)
Mean age (range)56 (18–100)
Person interviewed
 Patient928 (87)
 Caregiver62 (6)
 Both73 (7)
Married or cohabitating with partner406 (38)
Caregiver identified at time of readmission176 (16)
Clinical characteristics
 CHF (stage III or stage IV)64 (6)
 COPD (02-dependent or FEV1<1 L)76 (7)
 Cancer (any)163 (15)
 Stroke (ischaemic or haemorrhagic)77 (7)
 Dementia (Parkinson's or other neurodegenerative disorder)26 (2)
 ESRD (CKD IV, GFR<30 or haemodialysis)140 (13)
 ≥1 above conditions439 (41)
Discharge location from index admission
 Home917 (86)
 Homeless (shelter or streets)56 (5)
 Rehabilitation (subacute, acute or long-term acute care)43 (4)
 Nursing home24 (2)
 Other (eg, hospice, psychiatric or other acute care hospital)26 (2)
Post-discharge follow-up visit scheduled prior to readmission735 (69)
Patient able to attend follow-up visit prior to readmission384 (36)
Patient identifies having a primary care provider906 (85)
Patient-reported engagement in discharge planning
  ‘When you were getting ready to leave the hospital, how often did you have enough time to say what you thought was important?’Always or often
774 (73)
  ‘How often did you feel pressured by them to have a treatment you were not sure you wanted?’Never or rarely
  ‘When you were getting ready to leave the hospital, did they ask if you might have problems actually following the recommended plan?’Always or often
399 (37)
  ‘When I left the hospital I understood what I was supposed to do to take care of myself.’Agree/strongly agree
970 (91)
  ‘When I left the hospital, they took my preferences into account when they decided on the plan for my care.’Agree/strongly agree
797 (75)
  • CHF, congestive heart failure; CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; ESRD, end-stage renal disease; GFR, glomerular filtration rate.