Table 4.
The whole population N* | Integrated care model | Geriatric consult service | Bivariate analysis p value |
Adjusted analysis† p value |
OR (95% CI)‡ | ||
Preoperative nerve block | 368/503 (73%) | 272/352 (77%) | 96/151 (63%) | 0.001 | 0.001 | 2.0 (1.31 to 2.97) | |
Surgery within 24 hours | 356/512 (70%) | 251/359 (70%) | 105/153 (70%) | 0.58 | 0.51 | 1.2 (0.76 to 1.73) | |
Surgery within 48 hours | 501/512 (98%) | 350/359 (98%) | 151/153 (99%) | 0.79 | 0.76 | 1.2 (0.39 to 3.61) | |
Removal of urinary catheter 1 postoperative day | 230/510 (45%) | 177/356 (50%) | 53/154 (34%) | 0.002 | 0.002 | 1.9 (1.27 to 2.89) | |
Mobilised to standing or seated in a chair beside the bed 1 postoperative day | 318/506 (63%) | 235/358 (66%) | 83/148 (55%) | 0.01 | 0.033 | 1.5 (1.03 to 2.30) | |
Treatment with antiosteoporosis drugs in hospital (patients already on medication not included in analysis) | 345/491 (70%) | 259/339 (76%) | 86/152 (57%) | <0.001 | <0.001 | 2.1 (1.39 to 3.10) | |
Treatment for osteoporosis considered during stay | 476/507 (94%) | 350/359 (98%) | 126/148 (85%) | <0.001 | <0.001 | 8.58 (4.03 to 18.28) | |
Mortality | HR (95% CI) | ||||||
30 days | 49 (9%) | 33 (9%) | 16 (10%) | 0.7 | 0.78 | 0.92 (0.50 to 1.68) | |
1 year | 140 (27%) | 90 (25%) | 50 (32%) | 0.1 | 0.22 | 0.80 (0.57 to 1.14) |
Colour codes17: light grey=structure indicator; dark grey=process indicator; black=outcome indicator.
*N varies in analyses of quality indicators because some variables are missing for some patients.
†The adjusted analyses were adjusted for: age, sex, ASA class, cognitive impairment prefracture, fracture type (femoral neck fracture versus pertrochanteric/subtrochanteric fracture) and prefracture dependency.
‡95% CI of OR.
ASA, American Society of Anesthesiologists.