Table 3. Predictors for Change in Function for Patients Who Went Home (With or Without Home Care), From Discharge to 6 Weeks Post-Discharge.
| Predictor | Hip Procedure | Hip Fracture | Hip Fracture Treated by Arthroplasty | Stroke | COPD | CHF | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
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| Coeff | (CI) | Coeff | (CI) | Coeff | (CI) | Coeff | (CI) | Coeff | (CI) | Coeff | (CI) | |
| Discharge ADLs | **-1.03 | (-1.14,-0.91) | **-0.87 | (-1.20,-0.53) | *-0.52 | (-1.00,-0.04) | **-1.14 | (-1.41,-0.87) | **0.71 | (0.92,0.51) | **0.87 | (1.07,0.68) |
| Expected ADLs | 0.11 | (0.00,0.23) | 0.11 | (-0.35,0.58) | *0.65 | (0.04,1.25) | 0.00 | (-0.28,0.28) | **0.67 | (0.31,1.04) | *0.44 | (0.08,0.79) |
| Prior ADLs/IADLs | *0.19 | (0.04,0.33) | 0.13 | (-0.17,0.44) | 0.07 | (-0.30,0.44) | **0.56 | (0.32,0.80) | *0.25 | (0.04,0.46) | 0.00 | (0.25,0.25) |
| Patient is Female | 134.72 | (-9.07,278.51) | 333.24 | (-268.28,934.76) | 398.19 | (-351.90,1148.28) | -218.49 | (-599.12,162.14) | 152.25 | (488.39,183.89) | **487.63 | (833.96,141.30) |
| Patient Lives Alone | -199.37 | (-404.78,6.04) | *-676.59 | (-1244.01,-109.17) | *905.76 | (117.64,1693.88) | 114.21 | (-244.67,473.09) | 47.25 | (411.81,317.31) | 101.50 | (451.36,248.36) |
| Patient is Other Than White | *377.62 | (50.89,704.35) | -490.18 | (-1961.94,981.58) | 1516.30 | (-206.15,3238.75) | **731.12 | (225.05,1237.19) | 422.65 | (919.90,74.60) | 339.29 | (788.91,110.33) |
| Age | 3.10 | (-12.42,18.62) | 52.23 | (-0.45,104.92) | *56.05 | (12.18,99.91) | -8.14 | (-31.78,15.50) | 21.59 | (49.36,6.19) | 2.18 | (26.74,22.38) |
| Mental Status Deficiencies | -4.97 | (-79.73,69.78) | *116.65 | (8.40,224.90) | 46.33 | (-86.21,178.86) | 65.25 | (-2.23,132.73) | 15.95 | (101.51,133.41) | *109.05 | (12.95,205.15) |
| Prior Health Status | *-91.51 | (-174.28,-8.74) | 24.43 | (-270.75,319.60) | 60.02 | (-302.77,422.82) | 99.04 | (-99.90,297.98) | 111.90 | (304.63,80.83) | 26.45 | (168.45,221.35) |
| Comorbidity | **25.02 | (7.93,42.10) | 34.20 | (-21.76,90.16) | -25.29 | (-106.67,56.09) | -5.08 | (-37.80,27.63) | 0.98 | (31.91,29.95) | 32.24 | (0.69,65.16) |
| Lambda1 | -296.64 | (-905.02,311.74) | 19.35 | (-1483.97,1522.67) | **3,012.30 | (962.14,5062.46) | **-1,348.40 | (-2260.19,-436.61) | ||||
| R-square | 0.75 | 0.44 | 0.56 | 0.43 | 0.26 | 0.29 | ||||||
| Unbiased Adjusted R-square | 0.73 | 0.32 | 0.45 | 0.37 | 0.19 | 0.24 | ||||||
| F-value | **31.62 | **3.02 | **3.65 | **7.12 | **3.39 | **5.79** | ||||||
| P-value | 0.000 | 0.002 | 0.000 | 0.000 | 0.000 | 0.000 | ||||||
| N | 230 | 104 | 82 | 222 | 258 | 367 | ||||||
*
Significance level <.05.
**
Significance level <.01.
1
The variables Discharge ADLs, Expected ADLs, and Prior ADLs/IADLs use increments of 1,000 points in calculating the odds ratios and confidence intervals.
NOTES: Coeff is coefficient. CI is confidence intervals. COPD is chronic obstructive pulmonary disease. CHF is congestive heart failure. ADLs is activities of daily living. IADLs is instrumental activities of daily living. HMO is health maintenance organization. APS is acute physiology score.
SOURCE: Kane, R.L., Finch, M. and Chen, Q., University of Minnesota School of Public Health; Blewett, L., Minnesota Department of Health; Bums, R., and Moskowitz, M., Boston University School of Medicine.