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Table 3 Association Between Factors and Hospital Admission (as Expressed as Odds Ratio (OR) with 95% Confidence Intervals (CI) and Probability Significance Value (p)); Association Between Factors Total LOS1 (as Expressed as Incidence Rate Ratio (IRR) with 95% CI and p value) and New Discharge Destination2 (as Expressed as OR with 95% CI) and p value)

From: Factors affecting hospital admission, hospital length of stay and new discharge destination post proximal humeral fracture: a retrospective audit

Odds of hospital admission

Total LOS1 (n = 701)

New discharge destination2 (n = 701)

 

Univariable analysis, OR (95% CI),pvalue

Multivariable analysis, OR (95% CI),pvalue

Univariable analysis, IRR (95% CI),pvalue

Multivariable analysis, IRR (95% CI),pvalue

Univariable analysis, OR (95% CI),pvalue

Multivariable analysis, OR (95% CI),pvalue

Clinical factors

 Age, y median (IQR)

1.05 (1.03, 1.06), < 0.001

1.02 (1.00, 1.04), 0.051

1.02 (1.01, 1.03), < 0.001

1.00 (0.99, 1.01), 0.387

1.10 (1.07, 1.12), < 0.001

1.09 (1.06, 1.12), < 0.001

 Gender (male)

1.02 (0.73, 1.44), 0.89

 

0.85 (0.65, 1.12), 0.253

 

0.72 (0.44, 1.17), 0.184

 

 Additional acute principal medical diagnosis

36.67 (16.72, 80.43), < 0.001

32.46 (12.53, 84.08), < 0.001

1.74 (1.36, 2.22), < 0.001

1.39 (1.12, 1.74), 0.003

3.75 (2.36, 5.95), < 0.001

1.34 (0.70, 2.56), 0.38

 Additional significant injuries

9.23 (5.06, 16.82), < 0.001

5.59 (2.45, 12.74), < 0.001

1.60 (1.21, 2.12), 0.001

1.61 (1.26, 2.06), < 0.001

2.70 (1.59, 4.59), < 0.001

1.52 (0.74, 3.11), 0.253

 Dementia diagnosis

2.82 (1.77, 4.49), < 0.001

1.25 (0.49, 3.17), 0.644

1.45 (1.07, 1.98), 0.017

1.18 (0.88, 1.58), 0.258

2.97 (1.78, 4.96), < 0.001

2.44 (1.13, 5.23), 0.022

 Osteoporosis diagnosis

9.55 (6.23, 14.64), < 0.001

4.99 (2.71, 9.21), < 0.001

1.71(1.35, 2.18), < 0.001

1.38 (1.10, 1.74), 0.005

3.20 (2.08, 4.93), < 0.001

0.90 (0.49, 1.64), 0.725

 CCI score, median (IQR)

1.68 (1.50, 1.87), < 0.001

1.52 (1.28, 1.81), < 0.001

1.16 (1.09, 1.23), < 0.001

1.13 (1.06, 1.19), < 0.001

1.32 (1.20, 1.46), < 0.001

1.23 (1.06, 1.43), 0.005

Fracture factors

 Fracture severity

  Non-displaced

Ref

Ref

Ref

   

  Displaced

2.15 (1.44, 3.21), < 0.001

2.31 (1.12, 4.80), 0.024

1.03 (0.72, 1.46), 0.88

   

  Treatment method

  Conservative management

Ref

 

Ref

Ref

Ref

Ref

  Surgical management

N/A

 

0.37 (0.27, 0.51), < 0.001

0.56 (0.42, 0.76), < 0.001

0.95 (0.43, 2.09), 0.899

2.27 (0.78, 6.58), 0.133

  Conservative then surgical management

0.62 (0.35, 1.09), 0.096

1.70 (0.80, 3.63), 0.168

0.42 (0.26, 0.68), < 0.001

0.68 (0.44, 1.06), 0.092

0.30 (0.11, 0.85), 0.023

0.97 (0.30. 3.16), 0.966

 Orthopedic restrictions

 Minimal restrictions

Ref

Ref

Ref

Ref

Ref

 

 Restrictions

0.34 (0.18, 0.63), 0.001

0.59 (0.18, 1.89), 0.376

0.39 (0.29, 0.53), < 0.001

1.13 (0.80, 1.59), 0.495

1.06 (0.46, 2.42), 0.898

 

Premorbid status factors

 Living situation

  Home alone

Ref

Ref

Ref

Ref

Ref

Ref

  Home with family/friend(s)

0.54 (0.39, 0.76), < 0.001

0.38 (0.22, 0.67), 0.001

0.69 (0.54, 0.88), 0.003

0.67 (0.53, 0.83), < 0.001

0.13 (0.08, 0.20), < 0.001

0.08 (0.05, 0.15), < 0.001

  External care facility

0.21 (0.09, 0.46), < 0.001

0.01 (0.00, 0.06), < 0.001

0.24 (0.11, 0.51), < 0.001

0.20 (0.10, 0.40), < 0.001

0.04 (0.01, 0.28), 0.001

0.00 (0.00, 0.04), < 0.001

 Level of mobility

  Independent

Ref

 

Ref

 

Ref

 

  Assistance

1.26 (0.70, 2.29), 0.441

 

0.96 (0.61, 1.53), 0.872

 

1.12 (0.51, 2.47), 0.773

 

 Gait aid use

  Nil aid or SPS/FAC

Ref

Ref

Ref

Ref

Ref

Ref

  Walking frame

6.01 (3.87, 9.34), < 0.001

2.86 (1.24, 6.57), 0.013

1.40 (1.08, 1.82), 0.011

0.98 (0.74, 1.28), 0.855

2.90 (1.83, 4.60), < 0.001

0.75 (0.37, 1.53), 0.433

  Standing machine/sling hoist

2.14 (0.53, 8.64), 0.287

3.02 (0.29, 31.37), 0.355

0.93 (0.34, 2.60), 0.896

0.59 (0.24, 1.46), 0.251

0.99 (0.12, 8.16), 0.993

1.24 (0.09, 16.10), 0.871

 Level of personal self-care

  Independent

Ref

Ref

Ref

Ref

Ref

Ref

  Assistance

2.60 (1.69, 4.00), < 0.000

1.96 (0.72, 5.34), 0.186

1.33 (0.99, 1.78), 0.060

1.39 (1.02, 1.89), 0.037

2.02 (1.22, 3.36), 0.007

2.13 (0.95, 4.80), 0.067

 Upper-limb dominance

  Non-dominant

Ref

 

Ref

 

Ref

 

  Dominant

1.60 (1.11, 2.30), 0.012

 

0.95 (0.73, 1.25), 0.723

 

1.23 (0.76, 1.99), 0.391

 

  Not documented

0.61 (0.41, 0.90), 0.013

 

0.40 (0.29, 0.56), < 0.001

 

0.73 (0.43, 1.24), 0.245

 
  1. Blank cell = results not analyzed. Bold indicates statistically significant p value
  2. Abbreviations: y Years, IQR Interquartile range, CCI Score, Charlson Comorbidity Index, N/A Not applicable, SPS single point stick, FAC Forearm crutch
  3. 1Only participants who were admitted to hospital (n = 276) were included in the analysis for factors associated with an increased risk of longer total LOS
  4. 2All participants (n = 701) who presented to or were admitted to hospital were included in the analysis for factors associated with a new discharge destination