From: Post-acute pathways among hip fracture patients: a system-level analysis
 |  | Acute care | LTC | CCC | IPR | Community | P-value |
---|---|---|---|---|---|---|---|
Total N | Â | 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 | Â | Â | Â | Â | Â | Â | Â |
 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 | Â | Â | Â | Â | Â | Â | Â |
 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 |