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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