Abstract
Background: This study aims to investigate whether certain demographic factors of patients receiving home healthcare (HHC) interventions have any positive impact on mortality. Methods: the study included all patients who were enrolled in the HHC program in a referred medical complex, Jeddah, Saudi Arabia between the years 2017 and 2020 (593 patients). Results: A total of 6548 HHC visits were received during the study period. From the total number of visits, 3592 (54.9%) HHC visits were scheduled in the year 2020 compared to 157 (2.4%) scheduled HHC visits in 2017 (p < 0.001). The most successful HHC visits were provided in 2020 compared with the year 2017 (2193 vs. 132; p < 0.001). The cancelled HHC visits were observed to be the lowest (194) in 2019. Three explanatory variables of mortality [age, having a major diagnosis (diabetes mellitus, cerebrovascular diseases, and bedridden), and having more cancelled visits] made a statistically significant contribution to the logistic regression model after controlling for other variables. Suffering from cerebrovascular diseases and/or bedridden were the strongest predictor of death in patients receiving HHC. Conclusions: During the 2020 pandemic, there was a sharp increase in HHC compared to previous years. Three significant explanatory variables of mortality [age, having a major diagnosis (diabetes mellitus, cerebrovascular diseases, and bedridden), and having more cancelled visits] were reported.
Highlights
As the population ages, the prevalence of functional disability is expected to increase due to age-related chronic or debilitating conditions, among the oldest people [1]
Between 2017 and 2020, a total of 593 beneficiaries were enrolled in the HHC program at a referred medical complex in Jeddah, Saudi Arabia
Considering the total HHC visits, individuals aged 75–84 years accounted for the greatest proportion of total HHC visits (34.3%), while those ≤55 years of age represented the lowest proportion of visits (11.4%)
Summary
The prevalence of functional disability is expected to increase due to age-related chronic or debilitating conditions, among the oldest people [1]. Prevalence rates of chronic diseases are increasing in Saudi Arabia, contributing almost 60% of all premature deaths in 2016, estimated to rise to 73% by 2020 [6]. Diabetes and hypertension are the most common, with prevalence rates of 23% and 26% respectively [6] These phenomena will trigger several concerns and challenges to maintain healthcare demands in term of quantity, quality, and type of healthcare services and facilities; and reviewing the number of health support services for elders is timely. Three explanatory variables of mortality [age, having a major diagnosis (diabetes mellitus, cerebrovascular diseases, and bedridden), and having more cancelled visits] made a statistically significant contribution to the logistic regression model after controlling for other variables. Three significant explanatory variables of mortality [age, having a major diagnosis (diabetes mellitus, cerebrovascular diseases, and bedridden), and having more cancelled visits] were reported
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