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Table 3 Results of bivariate and multivariate analyses of the relationship between affective and cognitive impairment with discharge destination after rehabilitation in patients with hip fracture

From: How much do combined affective and cognitive impairments worsen rehabilitation outcomes after hip fracture ?

Characteristics

Destination

Bivariate analysis

Multivariate analysis

 

Home (N = 441)

Other (N = 171)

UnadjOR

95%CI

P-value

AdjORa

95%CI

P-value

Mental status:

 -No cognitive, no affective impairment (%)

82.8

17.2

1.0

   

 -Affective impairment only (%)

72.0

28.0

0.54

0.27–1.05

.071

0.54

0.26–1.14

.107

 -Cognitive impairment only (%)

57.1

42.9

0.28

0.18–0.42

<.001

0.57

0.35–0.92

.023

 -Combined cognitive and depressive impairment (%)

46.6

54.4

0.18

0.09–0.33

<.001

0.31

0.15–0.66

.002

Age (years, mean ± SD)

83.3 ± 7.0

86.2 ± 6.5

0.94

0.91–0.96

<.001

0.95

0.92–0.98

.003

Women (%)

79.6

72.2

1.51

1.02–2.21

.037

1.40

0.83–2.37

.205

Living alone prior to hospitalization (%)

67.2

62.3

1.24

0.87–1.76

.233

.84

.51–1.38

.492

Formal home care prior to hospitalization (%)

45.3

63.8

0.47

0.33–0.67

<.001

0.79

0.50–1.25

.313

Number of comorbidities (mean ± SD)

6.7 ± 3.6

7.6 ± 3.8

0.93

0.89–0.98

.002

0.97

0.92–1.03

.304

Basic ADLb score prior to hospitalization (mean ± SD)

5.4 ± 0.9

4.8 ± 1.3

1.60

1.36–1.88

<.001

1.14

0.93–1.41

.198

Barthel Index scorec at admission (mean ± SD)

56.6 ± 15.7

40.8 ± 18.2

1.06

1.04–1.07

<.001

1.05

1.03–1.06

<.001

Barthel Index scorec at discharge (mean ± SD)

81.6 ± 14.7

52.6 ± 22.9

1.07

1.06–1.09

<.001

  1. a Logistic model including patient’s characteristics available upon admission, presented in the model
  2. b Katz’ Basic Activities of Daily Living [24]. Include bathing, dressing, using the toilet, transferring between bed and chair, maintaining continence, feeding. Scores range from 0 to 6, with higher scores indicating higher function
  3. c Barthel Index score used as a continuous variable (range: 0 to 100, with higher score indicating better mobility and functional performances) [26]
  4. Cognitive impairment defined as a score < 24/30 at Folstein’s Mini Mental Status Examination (Scores range from 0 to 30, with higher score indicating higher cognitive function) [27] Affective impairment defined as a score of 6 or more at Geriatric Depression Scale, short form [28]