{"id":24170,"date":"2026-06-08T10:33:42","date_gmt":"2026-06-08T14:33:42","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&p=24170"},"modified":"2026-06-11T10:37:39","modified_gmt":"2026-06-11T14:37:39","slug":"comparative-use-of-homecare-and-health-services-following-hospitalization-with-covid-19-sepsis-and-influenza","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparative-use-of-homecare-and-health-services-following-hospitalization-with-covid-19-sepsis-and-influenza\/","title":{"rendered":"Comparative use of homecare and health services following hospitalization with COVID-19, sepsis, and influenza: Population-based cohort study"},"content":{"rendered":"

Background<\/strong> \u2014 People hospitalized with infectious illnesses are at elevated risk of long-term morbidity and disability.<\/p>\n

Objective<\/strong> \u2014 Our objectives were to explore potential care gaps by characterizing and comparing home- and healthcare service use for up to 1 year amongst adults discharged alive following a COVID-19 hospitalization relative to adults who survived a hospitalization with sepsis or influenza.<\/p>\n

Design and participants<\/strong> \u2014 We conducted a propensity-based overlap-weighted cohort study using linked health administrative data of all community-dwelling adults in Ontario discharged alive following hospitalization with COVID-19 or sepsis between April\/2020 and December\/2022. Historical comparators were hospitalized with influenza and sepsis between January\/2014 and December\/2019. Poisson regression was used to measure the association of hospitalization from COVID-19, sepsis, or influenza with home- and healthcare use in 1 year following discharge.<\/p>\n

Main measures<\/strong> \u2014 The primary outcome was homecare service use up to 1 year post-hospitalization.<\/p>\n

Key results<\/strong> \u2014 Among 204,008 included adults, 53,895 survived hospitalizations with COVID-19, 93,271 with sepsis (contemporary), 46,246 with sepsis (historical), and 10,596 with influenza. The rates of homecare use in the weighted cohorts were higher among those with COVID-19 than with influenza (rate ratio 1.25, 95% CI 1.13\u20131.38), lower than with contemporary sepsis (RR 0.81, 95% CI 0.78\u20130.85), and similar to those with historical sepsis (RR 1.02, 95% CI 0.96\u20131.07). Those with sepsis had a higher number of homecare visits up to 29 days following discharge than those with COVID-19, but an equal number at 30 days and beyond. Hospitalization with COVID-19 was associated with significantly higher rates of post-acute inpatient rehabilitation compared to all other groups.<\/p>\n

Conclusion<\/strong> \u2014 The additional burden of homecare use following hospitalization for multiple circulating severe infectious illnesses in the post-pandemic era necessitates adequate health system resource planning to meet the care needs of an aging and multimorbid population.<\/p>\n","protected":false},"excerpt":{"rendered":"

Background \u2014 People hospitalized with infectious illnesses are at elevated risk of long-term morbidity and disability. Objective \u2014 Our objectives were to explore potential care gaps by characterizing and comparing home- and healthcare service use for up to 1 year amongst adults discharged alive following a COVID-19 hospitalization relative to adults who survived a hospitalization […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,30,35],"migration-helper-qa-sample-set":[],"class_list":["post-24170","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-home-and-community-care","topic-public-health"],"acf":{"citation":"Jaswal HK, Pequeno P, Lee S, Quinn KL, Okrainec K. J Gen Intern Med<\/em>. 2026; Jun 8 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1007\/s11606-026-10532-1","ices_scientist":[1104,1305],"site":[6733],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"\nICES | Comparative use of homecare and health services following hospitalization with COVID-19, sepsis, and influenza: Population-based cohort study<\/title>\n<meta name=\"description\" content=\"Background \u2014 People hospitalized with infectious illnesses are at elevated risk of long-term morbidity and disability. 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