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 | Â | LTC | CCC | IPR | Community | ||||||||
 Number of patients |  | 1,919 | 935 | . | 3,299 | 5,252 | . | 7,398 | 6,596 | . | 3,435 | 12,718 | . |
Demographic Characteristics | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 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 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 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 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 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) |  |  |  |  |