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Table 3 Characteristics of hip fracture patients by immediate discharge destination, high-IPR regions and other regions

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

  

High-IPR

Other

SD

High-IPR

Other

SD

High-IPR

Other

SD

High-IPR

Other

SD

Immediate Discharge Destinationa

 

LTC

CCC

IPR

Community

 Number of patients

 

1,919

935

.

3,299

5,252

.

7,398

6,596

.

3,435

12,718

.

Demographic Characteristics

             

 Mean (+SD) age at index

 

83.90 ± 7.15

83.79 ± 7.61

0.02

83.48 ± 7.42

83.23 ± 7.30

0.03

82.55 ± 7.18

82.94 ± 7.05

0.02

82.78 ± 7.75

82.18 ± 7.63

0.08

 81 years or older at index, n(%N)

 

1,338 (69.7 %)

652 (69.7 %)

0.00

2,239 (67.9 %)

3,474 (66.1 %)

0.04

4,699 (63.5 %)

4,350 (65.9 %)

0.01

2,208 (64.3 %)

7,728 (60.8 %)

0.07

 Female, n(%N)

 

1,447 (75.4 %)

682 (72.9 %)

0.06

2,314 (70.1 %)

3,777 (71.9 %)

0.04

5,445 (73.6 %)

4,894 (74.2 %)

0.01

2,411 (70.2 %)

9,168 (72.1 %)

0.04

 More urban than provincial average n(%N)

 

1,835 (95.6 %)

878 (93.9 %)

0.12

3,124 (94.7 %)

4,907 (93.4 %)

0.05

7,265 (98.2 %)

6,372 (96.6 %)

0.01

171 (5.0 %)

1,321 (10.4 %)

0.19

 Income Quintiles, n(%N)

1 (lowest income)

389 (20.3 %)

165 (17.6 %)

0.18

581 (17.6 %)

1,210 (23.0 %)

0.14

1,160 (15.7 %)

1,223 (18.5 %)

0.08

742 (21.6 %)

3,110 (24.5 %)

0.06

 

2

425 (22.1 %)

167 (17.9 %)

 

681 (20.6 %)

1,002 (19.1 %)

 

1,660 (22.4 %)

1,303 (19.8 %)

 

763 (22.2 %)

2,557 (20.1 %)

 

3

463 (24.1 %)

208 (22.2 %)

 

692 (21.0 %)

1,202 (22.9 %)

 

1,369 (18.5 %)

1,875 (28.4 %)

 

631 (18.4 %)

2,489 (19.6 %)

 

4

340 (17.7 %)

190 (20.3 %)

 

622 (18.9 %)

948 (18.1 %)

 

1,454 (19.7 %)

1,268 (19.2 %)

 

590 (17.2 %)

2,186 (17.2 %)

 

5 (highest income)

290 (15.1 %)

201 (21.5 %)

 

706 (21.4 %)

870 (16.6 %)

 

1,728 (23.4 %)

912 (13.8 %)

 

699 (20.3 %)

2,305 (18.1 %)

Clinical Characteristics prior to index

             

 Previous hip fracture (1991-), n(%N)

 

127 (6.6 %)

80 (8.6 %)

0.01

218 (6.6 %)

353 (6.7 %)

0.00

431 (5.8 %)

387 (5.9 %)

0.01

248 (7.2 %)

823 (6.5 %)

0.03

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

 

57 (3.0 %)

37 (4.0 %)

0.06

124 (3.8 %)

180 (3.4 %)

0.02

259 (3.5 %)

174 (2.6 %)

0.00

107 (3.1 %)

466 (3.7 %)

0.03

 Falls 1 year prior, n(%N)

 

850 (44.3 %)

443 (47.4 %)

0.06

1,616 (49.0 %)

2,419 (46.1 %)

0.02

3,203 (43.3 %)

2,934 (44.5 %)

0.01

1,580 (46.0 %)

5,950 (46.8 %)

0.02

 Malignant neoplasm 1 year prior, n(%N)

 

69 (3.6 %)

26 (2.8 %)

0.13

111 (3.4 %)

216 (4.1 %)

0.01

259 (3.5 %)

234 (3.5 %)

0.01

154 (4.5 %)

598 (4.7 %)

0.01

 Grouped Charlson Score, n(%N)

0

919 (47.9 %)

420 (44.9 %)

0.00

1,595 (48.3 %)

2,703 (51.5 %)

0.06

4,650 (66.9 %)

4,173 (68.1 %)

0.00

1,800 (52.4 %)

7,026 (55.2 %)

0.06

 

1

504 (26.3 %)

284 (30.4 %)

 

839 (25.4 %)

1,287 (24.5 %)

 

1,287 (18.5 %)

1,085 (17.7 %)

 

822 (23.9 %)

3,006 (23.6 %)

 

2

266 (13.9 %)

133 (14.2 %)

 

462 (14.0 %)

688 (13.1 %)

 

583 (8.4 %)

518 (8.5 %)

 

465 (13.5 %)

1,481 (11.6 %)

 

3+

230 (12.0 %)

98 (10.5 %)

 

403 (12.2 %)

574 (10.9 %)

 

435 (6.3 %)

349 (5.7 %)

 

348 (10.1 %)

1,205 (9.5 %)

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

lower co-morbidity burden

571 (29.8 %)

228 (24.4 %)

0.09

797 (24.2 %)

1,415 (26.9 %)

0.07

2,268 (30.7 %)

2,174 (33.0 %)

0.04

844 (24.6 %)

3,313 (26.0 %)

0.04

 

median co-morbidity burden

779 (40.6 %)

413 (44.2 %)

 

1,376 (41.7 %)

2,187 (41.6 %)

 

2,983 (40.3 %)

2,756 (41.8 %)

 

1,462 (42.6 %)

5,439 (42.8 %)

 

higher co-morbidity burden

569 (29.7 %)

294 (31.4 %)

 

1,126 (34.1 %)

1,650 (31.4 %)

 

2,147 (29.0 %)

1,666 (25.3 %)

 

1,129 (32.9 %)

3,966 (31.2 %)

 Had home care 1 year prior, n(%N)

 

751 (39.1 %)

355 (38.0 %)

0.02

1,047 (31.7 %)

1,691 (32.2 %)

0.01

1092 (14.8 %)

906 (13.7 %)

0.02

1,030 (30.0 %)

3,419 (26.9 %)

0.07

Clinical Characteristics during and after index

             

 Diagnosis of delirium, n(%N)

 

110 (5.7 %)

50 (5.3 %)

0.14

221 (6.7 %)

243 (4.6 %)

0.09

391 (5.6 %)

297 (4.8 %)

0.07

187 (5.4 %)

451 (3.5 %)

0.08

 Diagnosis of dementia, n(%N)

 

194 (10.1 %)

119 (12.7 %)

0.08

319 (9.7 %)

406 (7.7 %)

0.07

270 (3.9 %)

235 (3.8 %)

0.04

310 (9.0 %)

875 (6.9 %)

0.08

 Diagnosis of malignant neoplasm, n(%N)

 

70 (3.6 %)

28 (3.0 %)

0.03

111 (3.4 %)

216 (4.1 %)

0.04

200 (2.7 %)

205 (3.1 %)

0.01

141 (4.1 %)

538 (4.2 %)

0.01

 Frailty risk factors >1, n(%N)

 

113 (5.9 %)

54 (5.8 %)

0.00

223 (6.8 %)

310 (5.9 %)

0.04

643 (9.2 %)

526 (8.6 %)

0.04

173 (5.0 %)

617 (4.9 %)

0.01

 Mean (±SD) FIM admission

 

.

.

.

.

.

.

73.36 ± 17.1

75.65 ± 15.8

0.16

   

 Median (IQR) FIM admission

 

.

.

.

.

.

.

76 (63–86)

78 (66–87)

    
  1. a LTC long term care, CCC complex continuing care, IPR inpatient rehabilitation