Table 3.
No Dementia (N = 284) | Probable Dementia (N =141) | |||
---|---|---|---|---|
Variables | Crude OR (95% CI) | p-value | Crude OR (95% CI) | p-value |
age –in years | 1.07 (1.05, 1.08) | 0.020 | 1.00 (0.93, 1.07) | 0.843 |
gender - male | 2.06 (1.16, 3.63) | 0.012 | 1.85 (0.85, 4.02) | 0.119 |
race - white | 0.89 (0.23, 3.44) | 0.708 | 0.54 (0.39, 5.93) | 0.413 |
current smoking | 0.55 (0.25, 1.25) | 0.198 | 1.39 (0.54, 3.61) | 0.486 |
current alcohol use | 0.59 (0.23, 1.48) | 0.399 | 1.86 (0.61, 5, 69) | 0.293 |
body-mass index-bmi (kg/m2) | 0.93 (0.88, 0.99) | 0.025 | 1.06 (0.98, 1.14) | 0.151 |
underweight: bmi <18.50 | 1.23 (0.52, 2.90) | 0.638 | 0.86 (0.29, 2.56) | 0.781 |
normal: 18.50≤ bmi < 25.00 | REF | N/A | REF | N/A |
overweight: bmi ≥ 25.00 | 0.63 (0.34, 1.19) | 0.152 | 1.48 (0.61, 3.58) | 0.382 |
pre-operative MMSE | 0.77 (0.60, 0.99) | 0.039 | 0.93 (0.83, 1.05) | 0.274 |
Katz ADL index | 0.74 (0.52, 1.06) | 0.098 | 0.90 (0.69, 1.17) | 0.422 |
Lawton IADL scale | 0.89 (0.76, 1.03) | 0.123 | 0.99 (0.84, 1.17) | 0.916 |
| ||||
Medical History | ||||
| ||||
# of medical comorbidities | 1.14 (1.03, 1.27) | 0.023 | 1.09( 0.95, 1.25) | 0.201 |
CVA or TIA | 1.15 (0.77, 3.03) | 0.225 | 1.22 (0.57, 2.59) | 0.613 |
# of prescription meds | 1.32 (1.02, 1.70) | 0.034 | 0.95 (0.74, 1.20) | 0.651 |
ASA rating 4 or above | 2.45 (1.12, 5.25) | 0.022 | 1.30 (0.54, 3.14) | 0.555 |
history of depression | 1.13 (0.53, 2.39) | 0.758 | 0.98 (0.43, 2.26) | 0.919 |
| ||||
Pre-operative variables | ||||
| ||||
Type of fracture | ||||
femoral neck | REF | N/A | REF | N/A |
Intertrochanteric | 0.87 (0.51.1.49) | 0.621 | 0.99 (0.51.1.94) | 0.994 |
Pre-op serological abnormality | ||||
hematocrit <30 | 1.52 (0.65, 3.56) | 0.328 | 0.72 (0.23, 2.26) | 0.573 |
bun/creatinine >20 | 0.71 (0.41, 1.22) | 0.211 | 0.97 (0.47, 1.99) | 0.932 |
WBC>12,000 | 0.74 (0.39, 1.40) | 0.200 | 1.03 (0.51, 2.08) | 0.936 |
sodium <130 | 2.25 (0.87, 5.83) | 0.088 | 1.16 (0.25, 5.41) | 0.846 |
albumin <3.5 or >4.5 | 1.30 (0.71, 3.72) | 0.246 | 1.48 (0.60, 3.65) | 0.396 |
ER to surgery – in hours | 1.00 (0.99, 1.02) | 0.417 | 1.01 (1.00, 1.03) | 0.042 |
ER to surgery > 36 hours | 0.81 (0.42, 1.58) | 0.536 | 2.83 (1.24, 6.48) | 0.017 |
| ||||
Intraoperative Variables | ||||
| ||||
Type of surgery | ||||
Hemiarthroplasty | REF | N/A | REF | N/A |
Screw and side plate | 0.84 (0.35, 2.05) | 0.710 | 0.84 (0.35, 2.06) | 0.710 |
Intramedullary hip screw | 0.39 (0.18, 0.94) | 0.034 | 0.72 (0.28, 1.90) | 0.509 |
Cannulated screw | 0.56 (0.14, 1.09) | 0.072 | 1.72 (0.54, 5,56) | 0.359 |
Others | 0.70 (0.21, 2.28) | 0.548 | 0.47 (0.10, 2.16) | 0.334 |
Type of anesthesia –general | 1.40 (0.79, 2.48) | 0.254 | 1.15 (0.58, 2.25) | 0.692 |
Length of surgery – hours, (sd) | 1.36 (1.03, 1.79) | 0.030 | 0.98 (0.69, 1.42) | 0.919 |
Length of surgery >2 hours | 1.99 (1.14, 3.47) | 0.017 | 1.02 (0.52, 1.98) | 0.960 |
Transfusion >2 units of RBC | 2.60 (1.33, 5.08) | 0.004 | 0.98 (0.40, 2.41) | 0.965 |