Table 4. Significant Predictors for Decrease in Function, From Discharge to 6 Weeks Post-Discharge.
| Predictor | Home | Home Care | ||
|---|---|---|---|---|
|
|
|
|||
| Coeff | (CI) | Coeff | (CI) | |
| Stroke | ||||
| Discharge ADLs | **-0.78 | (-1.24,-0.32) | **-0.79 | (-1.10,-0.49) |
| Expected ADLs | 0.14 | (-0.47,0.76) | *0.31 | (0.05,0.58) |
| Prior ADLs/IADLs | 0.24 | (-0.25,0.73) | *0.32 | (0.06,0.58) |
| Patient Lives in Houston | 5.01 | (-794.67,804.69) | *701.41 | (109.88,1,292.94) |
| Admission APS | *118.60 | (14.58,222.62) | -27.23 | (-97.08,42.63) |
| Sickness | *-1,144.80 | (-2,264.55,-25.05) | -301.53 | (-983.61,380.55) |
| Lambda1 | -425.79 | (-1,863.45,1,011.87) | -185.05 | (-1,286.37,916.27) |
| R-square | 0.40 | 0.55 | ||
| Unbiased Adjusted R-square | 0.29 | 0.47 | ||
| F-value | 2.82 | 5.29 | ||
| P-value | 0.000 | 0.000 | ||
| N | 110 | 112 | ||
| COPD | ||||
| Discharge ADLs | **-0.62 | (-0.97,-0.26) | **-0.77 | (-0.95,-0.60) |
| Expected ADLs | **1.63 | (0.77,2.49) | **0.43 | (0.18,0.69) |
| Prior ADLs/IADLs | 0.23 | (-0.20,0.65) | *0.19 | (0.02,0.36) |
| Uses Catheter | *-1,145.10 | (-2,184.10,-106.10) | 224.50 | (-229.44,678.44) |
| Lambda1 | 681.89 | (-901.59,2,265.37) | 54.18 | (-592.42,700.79) |
| R-square | 0.30 | 0.54 | ||
| Unbiased Adjusted R-square | 0.20 | 0.46 | ||
| F-value | 2.41 | 5.49 | ||
| P-value | 0.002 | 0.000 | ||
| N | 139 | 119 | ||
| CHF | ||||
| Discharge ADLs | **-0.55 | (-0.96,-0.14) | **-0.84 | (-1.04,-0.64) |
| Expected ADLs | 0.57 | (-0.04,1.18) | **0.41 | (0.13,0.69) |
| Prior ADLs/IADLs | *0.90 | (0.03,1.78) | *0.47 | (0.10,0.84) |
| Patient Lives Alone | *1,237.10 | (140.87,2,333.33) | 198.03 | (-356.26,752.32) |
| Mental Status Deficiencies | *175.21 | (15.00,335.42) | 16.79 | (-48.98,82.57) |
| Uses Catheter | *1,257.60 | (306.80,2,208.40) | 131.68 | (-226.41,489.77) |
| Patient is HMO Member | *-1,380.50 | (-2,465.95,-295.05) | -150.46 | (-653.59,352.67) |
| Comorbidity | *62.07 | (2.39,121.76) | -4.94 | (-28.85,18.97) |
| Lambda1 | *5,081.80 | (818.80,9,344.80) | -1,133.30 | (-2,924.94,658.34) |
| R-square | 0.23 | 0.61 | ||
| Unbiased Adjusted R-square | 0.16 | 0.55 | ||
| F-value | 2.72 | 9.96 | ||
| P-value | 0.000 | 0.000 | ||
| N | 209 | 158 | ||
| Hip Procedure | ||||
| Discharge ADLs | **-1.04 | (-1.17,-0.90) | **-1.01 | (-1.18,-0.84) |
| Prior ADLs/IADLs | *0.21 | (0.03,0.40) | *0.27 | (0.06,0.48) |
| Patient is Other Than White | 11.27 | (-586.53,609.07) | *521.43 | (112.18,930.68) |
| Lambda1 | -502.08 | (-1,075.77,71.61) | -13.35 | (-459.45,432.75) |
| R-square | 0.71 | 0.86 | ||
| Unbiased Adjusted R-square | 0.68 | 0.82 | ||
| F-value | 18.04 | 17.44 | ||
| P-value | 0.000 | 0.000 | ||
| N | 151 | 79 | ||
| Hip Fracture | ||||
| Discharge ADLs | **-0.89 | (-1.47,-0.31) | -0.95 | (-1.25,-0.65) |
| Age | **99.11 | (44.92,153.31) | -28.64 | (-78.56,21.29) |
| Lambda1 | -1371.60 | (-3931.36,1188.16) | 289.47 | (-1308.91,1887.85) |
| R-square | 0.60 | 0.71 | ||
| Unbiased Adjusted R-square | 0.44 | 0.59 | ||
| F-value | 2.19 | 3.43 | ||
| P-value | 0.02 | 0.001 | ||
| N | 52 | 52 | ||
| Hip Fracture Treated by Arthroplasty | ||||
| Discharge ADLs | 0.44 | (-3.26,4.13) | **-1.27 | (-1.61,-0.93) |
| Prior ADLs/IADLs | 0.88 | (-0.09,1.86) | *0.62 | (0.34,0.91) |
| Mental Status Deficiencies | *-296.66 | (-476.20,-117.12) | 97.81 | (-24.30,219.91) |
| Prior Health Status | **1,955.00 | (1,375.23,2,534.77) | -138.25 | (-472.63,196.13) |
| Admission APS | *717.84 | (324.66,1,111.02) | 69.98 | (-76.47,216.43) |
| Lambda1 | 459.32 | (-5093.36,6,012.00) | 763.49 | (-675.74,2,202.72) |
| R-square | 0.99 | 0.76 | ||
| Unbiased Adjusted R-square | 0.99 | 0.67 | ||
| F-value | 2.01 | 5.32 | ||
| P-value | 0.008 | 0.000 | ||
| N | 25 | 57 | ||
*
Significance level <.05.
**
Significance level <.01.
1
Lambda represents the selection coefficient.
NOTES: Coeff is coefficient. CI is confidence intervals. ADLs is activities of daily living. IADLs is instrumental activities of daily living. COPD is chronic obstructive pulmonary disease. CHF is congestive heart failure.
SOURCE: Kane, R.L., Finch, M., and Chen, Q., University of Minnesota School of Public Health; Blewett, L., Minnesota Department of Health; Burns, R., and Moskowitz, M., Boston University School of Medicine.