Table 4. Multivariate Analysis of Risk of Discharge to a Place Other than Home and Decrease in Katz ADL Score in 114 Older Adults Admitted to an SICU*.
Variables | Discharged Not Home | KATZ ADL Decreased | ||
---|---|---|---|---|
Odds Ratio (95% CI) [Adjusted] | p Value | Odds Ratio (95% CI) [Adjusted] | p Value | |
SICU delirium | 7.20 (1.93–26.82) | 0.003 | 3.41 (0.95–12.19) | 0.059 |
Service | 0.279 | 0.113 | ||
Trauma | 4.83 (0.99–23.68) | 0.052 | 2.57 (0.54–12.34) | 0.238 |
Vascular | ||||
General† | 1.66 (0.46–6.03) | 0.444 | 0.65 (0.21–1.99) | 0.448 |
Other‡ | 1.12 (0.15–8.39) | 0.911 | 4.19 (0.63–27.98) | 0.139 |
Females | 2.97 (0.89–9.78) | 0.074 | 5.81 (1.96–17.20) | 0.002 |
Hearing loss | 2.47 (0.77–7.89) | 0.128 | 1.63 (0.57–4.61) | 0.360 |
Pre-Katz ADL < 5 | 1.48 (0.39–5.63) | 0.569 | ||
IQCODE < 3.31 | 1.02 (0.23–4.59) | 0.971 | 3.78 (0.88–16.15) | 0.073 |
Mechanical ventilation use | 0.76 (0.20–2.83) | 0.677 | 0.45 (0.14–1.45) | 0.183 |
Complication§ | 1.73 (0.50–5.94) | 0.387 | 1.44 (0.42–5.01) | 0.559 |
Age | 1.03 (0.94–1.14) | 0.477 | 1.04 (0.96–1.14) | 0.339 |
APACHE II | 1.02 (0.92–1.14 | 0.671 | 1.08 (0.97–1.19) | 0.148 |
CCI | 0.99 (0.80–1.21) | 0.890 | 1.08 (0.89–1.31) | 0.411 |
C statistic for discharge placement model = 0.83; C statistic for functional ability model = 0.81.
General surgery category includes colorectal, surgical oncology, and GI surgical services.
Other category includes otorhinolaryngology, oral/maxillofacial, urology, gynecology/oncology, orthopedics, and plastic surgical services.
The type and number of SICU complications in the study population included cardiac arrhythmias (n = 19), pneumonia (n = 7), reintubation (n = 7), urinary tract infection (n = 6), acute renal failure (n = 6), GI bleeding (n = 6), deep vein thrombosis (n = 5), myocardial infarction (n = 4), suspected adverse drug event (n = 4), sepsis (n = 3), pulmonary emboli (n = 3), cerebral vascular accident (n = 2), cardiopulmonary resuscitation (n = 1).