Table 4.
Adjusted * mortality OR (95% CI) for fulfilment of the quality of care criteria | Assessment of nutritional risk within 2 days after admission | Systematic pain assessment during mobilization | Assessment of ADL before the fracture | Assessment of ADL before discharge | Initiation of treatment to prevent future osteoporotic fractures |
30-day post-admission mortality | 0.98 (0.77 to 1.19) |
0.72 (0.52 to 1.00) |
0.54 (0.39 to 0.76) |
0.28 (0.21 to 0.37) |
0.64 (0.48 to 0.85) |
30-day post-admission mortality excluding patients who died during hospitalization | 1.01 (0.76 to 1.34) |
0.73 (0.54 to 0.99) |
0.65 (0.49 to 0.87) |
0.42 (0.30 to 0.58) |
0.73 (0.54 to 0.99) |
30-day post-discharge mortality | 0.98 (0.78 to 1.22) |
0.80 (0.64 to 1.02) |
0.71 (0.53 to 0.94) |
0.55 (0.41 to 0.73) |
0.80 (0.63 to 1.01) |
180-day post-admission mortality | 0.92 (0.78 to 1.10) |
0.79 (0.63 to 0.99) |
0.67 (0.53 to 0.85) |
0.46 (0.37 to 0.58) |
0.75 (0.61 to 0.91) |
180-day post-discharge mortality | 0.93 (0.76 to 1.12) |
0.79 (0.65 to 0.96) |
0.76 (0.61 to 0.94) |
0.61 (0.49 to 0.76) |
0.81 (0.67 to 0.97) |
30-day post-admission mortality, largest hospital | 0.38 (0.14 to 1.14) |
0.22 (0.02 to 2.27) |
0.50 (0.18 to 1.37) |
0.50 (0.18 to 1.44) |
0.40 (0.14 to 1.14) |
30-day post-admission mortality, second largest hospital | 0.69 (0.23 to 2.05) |
NA† | 0.03 (0.01 to 0.15) |
0.03 (0.01 to 0.15) |
NA† |
30-day post-admission mortality, third largest hospital | 0.97 (0.51 to 1.83) |
0.78 (0.33 to 1.81) |
0.60 (0.19 to 1.84) |
0.18 (0.09 to 0.37) |
0.72 (0.36 to 1.43) |
* Adjusted for age, gender, comorbidity, living situation, type of fracture, fracture displacement status, ASA-score, delay until surgery and type of surgery. For post-discharge mortality ORs, also adjusted for length of hospital stay.
† No deaths among patients with systematic pain assessment or initiation of treatment to prevent future osteoporotic fractures.