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Table 3 Multivariable logistic regression model predicting long-stay designation by discharge destination

From: Clinical predictors of protracted length of stay in Ontario Complex Continuing Care hospitals

  

Overall

Community Discharge

LTC Discharge

 

Adjusted Odds Ratio (95% CI)

P-Value

Adjusted Odds Ratio (95% CI)

P-Value

Adjusted Odds Ratio (95% CI)

P-Value

Demographics

 Female (ref = male)

 

0.90 (0.85–0.96)

< 0.01

0.90 (0.83–0.97)

0.01

1.00 (0.90–1.12)

0.96

 Age (ref = 0–64)

65–74

0.68 (0.61–0.75)

<.0001

0.69 (0.62–0.77)

<.0001

0.52 (0.44–0.62)

<.0001

75–84

0.60 (0.55–0.66)

<.0001

0.51 (0.46–0.57)

<.0001

0.38 (0.33–0.44)

<.0001

85–94

0.52 (0.47–0.58)

<.0001

0.43 (0.38–0.49)

<.0001

0.30 (0.26–0.36)

<.0001

95+

0.56 (0.46–0.69)

<.0001

0.29 (0.20–0.41)

<.0001

0.35 (0.25–0.49)

<.0001

Clinical Scales

 ADL Hierarchy Scale (ref = 0)

1–2

1.27 (1.08–1.50)

< 0.01

1.59 (1.30–1.94)

<.0001

1.36 (0.99–1.87)

0.06

3–4

2.11 (1.78–2.49)

<.0001

3.01 (2.46–3.68)

<.0001

1.76 (1.28–2.42)

0.0005

5–6

2.09 (1.76–2.48)

<.0001

2.73 (2.22–3.36)

<.0001

1.87 (1.35–2.59)

0.0002

 Cognitive performance scale (ref = 0)

1–2

1.33 (1.21–1.46)

<.0001

1.08 (0.98–1.19)

0.12

0.94 (0.80–1.12)

0.51

3+

1.60 (1.46–1.75)

<.0001

1.23 (1.11–1.37)

0.0001

0.80 (0.67–0.94)

0.008

 CHESS [1] (ref = 0)

1–2

0.72 (0.66–0.77)

<.0001

0.74 (0.67–0.81)

<.0001

0.72 (0.63–0.82)

<.0001

3+

0.62 (0.57–0.69)

<.0001

0.65 (0.57–0.74)

<.0001

0.62 (0.53–0.73)

<.0001

 Pressure ulcer risk scale (ref = 0)

1–2

1.06 (0.95–1.17)

0.28

1.21 (1.06–1.38)

0.006

1.08 (0.91–1.29)

0.38

3

1.33 (1.18–1.50)

<.0001

1.72 (1.47–2.00)

<.0001

1.21 (0.98–1.48)

0.08

4–5

1.49 (1.31–1.70)

<.0001

2.07 (1.75–2.45)

<.0001

1.28 (1.03–1.59)

0.03

5+

2.00 (1.56–2.56)

<.0001

2.95 (2.14–4.06)

<.0001

1.54 (1.02–2.32)

0.04

 Aggressive behaviour scale (ref = 0)

1–4

    

1.32 (1.16–1.49)

<.0001

5+

    

1.81 (1.50–2.17)

<.0001

Health service utilization

 Hospital stays [2] (ref = 0)

1 stay

0.81 (0.75–0.87)

<.0001

0.80 (0.72–0.88)

<.0001

0.78 (0.69–0.89)

0.0002

2+ stays

0.66 (0.59–0.73)

<.0001

0.63 (0.55–0.72)

<.0001

0.63 (0.52–0.75)

<.0001

 Emergency department visits [2] (ref = 0)

1 visit

0.85 (0.79–0.92)

<.0001

0.95 (0.86–1.04)

0.23

0.77 (0.68–0.87)

<.0001

2+ visits

0.70 (0.60–0.81)

<.0001

0.77 (0.64–0.93)

0.006

0.65 (0.51–0.83)

0.0006

 Previous nursing home admission (ref = no)

 

0.82 (0.72–0.92)

< 0.01

  

0.63 (0.52–0.76)

<.0001

Health conditions

 Hemiplegia (ref = not present)

 

1.40 (1.27–1.54)

<.0001

2.27 (2.04–2.53)

<.0001

1.22 (1.05–1.43)

0.01

 Quadriplegia (ref = not present)

 

1.38 (1.07–1.79)

0.01

  

2.79 (1.73–4.49)

<.0001

 Traumatic brain injury (ref = not present)

 

1.67 (1.38–2.02)

<.0001

1.92 (1.52–2.42)

<.0001

1.82 (1.36–2.44)

<.0001

 Cancer (ref = not present)

 

0.78 (0.71–0.86)

<.0001

0.80 (0.71–0.90)

0.0002

  

 Aphasia (ref = not present)

 

1.50 (1.34–1.68)

<.0001

1.22 (1.05–1.43)

0.01

1.89 (1.60–2.23)

<.0001

 Antibiotic resistant infection (ref = not present)

 

1.43 (1.28–1.59)

<.0001

1.55 (1.36–1.76)

<.0001

  

 HIV infection (ref = not present)

 

2.34 (1.48–3.69)

0.0003

2.95 (1.87–4.66)

<.0001

  

 Pneumonia (ref = not present)

 

0.82 (0.72–0.94)

0.004

0.73 (0.61–0.86)

0.0003

  

 Unsteady gait (ref = not present)

 

0.74 (0.69–0.79)

<.0001

0.70 (0.65–0.76)

<.0001

0.79 (0.71–0.88)

<.0001

Therapies

 Feeding tube (ref = no)

 

1.56 (1.37–1.78)

<.0001

1.42 (1.20–1.68)

<.0001

1.87 (1.53–2.29)

<.0001

 Dialysis (ref = no)

 

1.54 (1.24–1.90)

<.0001

1.57 (1.23–1.99)

0.0003

  

 Psychological therapy [3] (ref = no)

 

1.64 (1.52–1.78)

<.0001

1.47 (1.33–1.62)

<.0001

1.70 (1.49–1.95)

<.0001

 Tracheostomy, ventilator or respirator (ref = no)

 

1.89 (1.50–2.39)

<.0001

2.11 (1.63–2.73)

<.0001

2.07 (1.35–3.18)

0.0008

Discharge potential

 Desire to return to community (ref = no)

 

0.42 (0.39–0.45)

<.0001

0.44 (0.40–0.49)

<.0001

0.58 (0.51–0.65)

<.0001

 Support person positive towards discharge (ref = no)

0.63 (0.58–0.68)

<.0001

0.54 (0.48–0.61)

<.0001

0.77 (0.68–0.87)

<.0001

 C Statistic

 

0.76

0.77

0.74

  1. [1] Changes in Health, End-Stage Disease, Signs, and Symptoms Scale
  2. [2] In last 90 days
  3. [3] On 1+ days in last 7 days