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Table 1 Characteristics of persons admitted to acute carefor hip fracture and of those discharged alive by immediate discharge destination (e.g., LTC)

From: Post-acute pathways among hip fracture patients: a system-level analysis

  

Acute care

LTC

CCC

IPR

Community

P-value

Total N

 

36,029

1,943

5,492

13,994

11,920

.

Demographic Characteristics

 Mean (±SD) Age at index

 

82.88 ± 7.5

85.20 ± 6.99

84.40 ± 6.92

82.73 ± 7.13

81.28 ± 7.85

<.001

 81 years or older at index, n (%N)

 

23,294 (64.6 %)

1,475 (75.9 %)

4,003 (72.9 %)

9,049 (64.7 %)

6,642 (55.7 %)

<.001

 Female sex, n (%N)

 

25,930 (71.9 %)

1,521 (78.3 %)

3,953 (72.0 %)

10,339 (73.9 %)

8,573 (71.9 %)

<.001

 More urban than provincial average n (%N)

 

33,415 (92.7 %)

1,955 (97.8 %)

5,487 (96.1 %)

13,667 (97.9 %)

11,910 (85.6 %)

<.001

 Income Quintile, n (%N)

1 (lowest income)

7,710 (21.4 %)

361 (18.6 %)

1,191 (21.7 %)

2,383 (17.0 %)

3,213 (27.0 %)

<.001

 

2

7,329 (20.3 %)

398 (20.5 %)

1,048 (19.1 %)

2,963 (21.2 %)

2,381 (20.0 %)

 
 

3

7,641 (21.2 %)

481 (24.8 %)

1,270 (23.1 %)

3,244 (23.2 %)

2,023 (17.0 %)

 
 

4

6,525 (18.1 %)

372 (19.1 %)

970 (17.7 %)

2,722 (19.5 %)

1,926 (16.2 %)

 
 

5 (highest income)

6,682 (18.5 %)

323 (16.6 %)

995 (18.1 %)

2,640 (18.9 %)

2,288 (19.2 %)

 

Clinical characteristics prior to index

       

 Previous hip fracture (1991-), n (%N)

 

2,405 (6.7 %)

176 (9.1 %)

354 (6.4 %)

818 (5.8 %)

837 (7.0 %)

<.001

 Any fragility fracture 1 year prior, n (%N)

 

1,123 (3.1 %)

79 (4.1 %)

198 (3.6 %)

433 (3.1 %)

433 (3.6 %)

0.03

 Falls 1 year prior, n(%N)

 

15,244 (42.3 %)

886 (45.6 %)

2,607 (47.5 %)

6,137 (43.9 %)

5,614 (47.1 %)

<.001

 Malignant neoplasm 1 year prior, n (%N)

 

1,593 (4.4 %)

61 (3.1 %)

271 (4.9 %)

493 (3.5 %)

538 (4.5 %)

<.001

 Charlson score (grouped), n (%N)

0

18,078 (52.8 %)

916 (49.5 %)

2,755 (52.0 %)

7,364 (56.7 %)

5,446 (56.9 %)

<.001

 

1

8,285 (24.2 %)

491 (26.6 %)

1,300 (24.5 %)

3,082 (23.7 %)

2,216 (23.2 %)

 
 

2

4,295 (12.6 %)

253 (13.7 %)

695 (13.1 %)

1,515 (11.7 %)

1,090 (11.4 %)

 
 

3+

3,554 (10.4 %)

189 (10.2 %)

552 (10.4 %)

1,038 (8.0 %)

815 (8.5 %)

 

 Number of ADG Groups 1 year prior, n (%N)

lower co-morbidity burden

11,615 (32.2 %)

608 (31.3 %)

1,680 (30.6 %)

4,442 (31.7 %)

4,072 (34.2 %)

<.001

 

median co-morbidity burden

14,326 (39.7 %)

795 (40.9 %)

2,139 (38.9 %)

5,739 (41.0 %)

4,688 (39.3 %)

 
 

higher co-morbidity burden

10,107 (28.0 %)

540 (27.8 %)

1,673 (30.5 %)

3,813 (27.2 %)

3,160 (26.5 %)

 

 Had home care 1 year prior, n(%N)

 

10,434 (28.9 %)

713 (36.7 %)

1631 (29.7 %)

2,491 (17.8 %)

2,244 (18.7 %)

<.001

Clinical characteristics during index

       

 Diagnosis of delirium, n (%N)

 

1,519 (4.4 %)

114 (6.2 %)

277 (5.2 %)

462 (3.6 %)

362 (3.8 %)

<.001

 Diagnosis of dementia, n (%N)

 

2,549 (7.5 %)

195 (10.5 %)

435 (8.2 %)

750 (5.8 %)

699 (7.3 %)

<.001

 Diagnosis of pressure ulcer, n (%N)

 

911 (2.7 %)

74 (4.0 %)

162 (3.1 %)

263 (2.0 %)

221 (2.3 %)

<.001

 Diagnosis of malignant neoplasm, n (%N)

 

1,426 (4.0 %)

68 (3.5 %)

247 (4.5 %)

405 (2.9 %)

463 (3.9 %)

<.001

 Frailty risk factors >1, n (%N)

 

2,680 (7.4 %)

96 (5.2 %)

290 (5.5 %)

521 (4.0 %)

385 (4.0 %)

<.001