Table 4.
Quality Indicator | Functional Decline‡ | Catastrophic Functional Decline§ | ||
---|---|---|---|---|
Odds Ratio (95% CI) | P value | Odds Ratio (95% CI) | P value | |
Cognitive Status Assessment | 1.38 (0.70-2.73) | 0.35 | 0.60 (0.25-1.43) | 0.25 |
Functional Status | 1.01 (0.75-1.36) | 0.94 | 1.37 (0.97-1.93) | 0.07 |
Mobility Plan | 1.48 (1.07-2.05) | 0.017 ‖ | 1.89 (1.16-3.08) | 0.01 ‖ |
Discharge Planning | 0.76 (0.50-1.15) | 0.19 | 0.61 (0.37-1.00) | 0.05 ‖ |
Nutritional Status | 0.37 (0.21-0.64) | <0.001 ‖ | 0.28 (0.13-0.60) | <0.001 ‖ |
Pain Assessment | 0.90 (0.68-1.19) | 0.46 | 1.03 (0.67-1.59) | 0.90 |
Results derived from multivariate logistic regression that tests the effect of QI adherence on functional decline and adjusts for average VES-13 Score, Charlson Score, interaction between quality indicator adherence and VES-13 score, number of baseline ADL limitations, DNR/DNI status, log length of stay, number of Quality Indicators triggered, demographic characteristics (age, race, gender), and clustered for attending subject
Functional Decline defined as the emergence of one or more new deficits in Activities of Daily Living (ADLs) in time period one month before admission to one month after discharge
Catastrophic Functional Decline defined as the emergence of deficits in 3 or more ADLs in a given time period
P < 0.05