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Table 3 Logistic regression of institutionalization at 6–12 months after index admission for hip fracture on post-fracture rehabilitation setting a

From: Does rehabilitation setting influence risk of institutionalization? A register-based study of hip fracture patients in Oslo, Norway

 

Model 1

Model 2

Model 3

Model 4

 

ORb

95 % CIc

ORb

95 % CIc

ORb

95 % CIc

ORb

95 % CIc

Rehabilitation outside institution (vs. in institution)

0.26 ***

(0.16, 0.43)

0.31 ***

(0.18, 0.53)

0.43 **

(0.24, 0.77)

0.42 **

(0.23, 0.76)

Male (vs. female)

  

1.15

(0.69, 1.92)

1.12

(0.67, 1.89)

1.08

(0.62, 1.87)

Age (years)

  

1.08 ***

(1.05, 1.11)

1.07 ***

(1.04, 1.10)

1.08 ***

(1.04, 1.11)

One or more comorbidities (vs. none)

  

1.54

(0.85, 2.80)

1.61

(0.88, 2.93)

1.67

(0.92, 3.05)

HF diagnosis:

  Fracture of neck of femur

  

1.00

 

1.00

 

1.00

 

  Pertrochanteric fracture

  

1.16

(0.75, 1.78)

1.06

(0.68, 1.66)

1.08

(0.68, 1.70)

  Subtrochanteric fracture

  

1.33

(0.52, 3.44)

1.25

(0.46, 3.40)

1.31

(0.47, 3.69)

  Other d

  

0.87

(0.37, 2.03)

0.78

(0.32, 1.91)

0.76

(0.30, 1.90)

P-ADL dependency: e

  Low dependency:

  

1.00

 

1.00

 

1.00

 

  High dependency

  

1.12

(0.52, 2.40)

1.11

(0.51, 2.41)

1.08

(0.49, 2.37)

  Not assessed

  

0.67

(0.18, 2.43)

0.70

(0.19, 2.62)

0.60

(0.15, 2.39)

I-ADL dependency: e

  Low dependency

  

1.00

 

1.00

 

1.00

 

  High dependency

  

0.70

(0.21, 2.27)

0.61

(0.19, 2.00)

0.56

(0.17, 1.85)

  Not assessed

  

1.73

(0.37, 8.23)

1.55

(0.32, 7.54)

1.64

(0.32, 8.25)

Need for help with social participation: e

  Low dependency

  

1.00

 

1.00

 

1.00

 

  High dependency

  

1.65

(0.63, 4.34)

1.53

(0.57, 4.09)

1.70

(0.63, 4.59)

  Not assessed

  

1.76

(0.85, 3.64)

1.67

(0.80, 3.50)

1.66

(0.78, 3.53)

Need for help with memory: e

  Low dependency

  

1.00

 

1.00

 

1.00

 

  High dependency

  

5.36 ***

(2.26, 12.71)

4.74 ***

(1.96, 11.44)

5.38 ***

(2.17, 13.36)

  Not assessed

  

1.12

(0.51, 2.46)

1.18

(0.53, 2.63)

1.14

(0.50, 2.59)

  LOS (days) f

    

1.01

(0.98, 1.05)

1.02

(0.98, 1.06)

  Healthcare use index score g

    

2.15 ***

(1.55, 2.98)

2.18 ***

(1.56, 3.04)

Education: h

  Primary education

      

1.00

 

  Secondary education

      

1.32

(0.79, 2.22)

  Tertiary education

      

1.56

(0.76, 3.22)

Income (in NOK): i

  100,000-199,999

      

1.14

(0.65, 2.00)

  200,000-299,999

      

1.00

 

  300,000-399,999

      

1.54

(0.86, 2.78)

  400,000+

      

1.07

(0.50, 2.28)

Wealth (in NOK): i

  ≤ 0

      

0.94

(0.02, 49.79)

  1-199,999

      

1.75

(0.84, 3.64)

  200,000-499,999

      

1.41

(0.73, 2.73)

  500,000-999,999

      

0.74

(0.41, 1.33)

  1,000,000+

      

1.00

 

  Pseudo R2

0.080

 

0.180

 

0.212

 

0.227

 

  AIC

698.8

 

654.2

 

634.9

 

642.1

 

  BIC

765.0

 

782.3

 

771.8

 

818.8

 

  AUC

0.69

 

0.78

 

0.80

 

0.81

 

  Observations

612

 

612

 

612

 

612

 
  1. Notes: ** p < 0.01, *** p < 0.001; a all models include fixed-effects for Oslo’s boroughs (not shown); b OR = Odds Ratio; c CI = Confidence Interval; d Fracture of: shaft of femur, lower end of femur, multiple fractures of femur, other/unspecified parts of femur; e within 30 days after hospital discharge for HF; f of the index hospital episode; g measures change in the scope of municipal healthcare services received between the first five months post-discharge and the month prior to the index admission; h in the year of HF; i in the year prior to the HF