Table 3.
Association between surgical repair versus no surgical repair and pain, restraint use, pressure ulcer, and antipsychotic use in NH residents with advanced dementia and hip fracture who survived 6-months with valid MDS assessment (n=1,794)
| Surgical repair n=1,603 |
No surgical repair n=191 |
Unadjusted OR (95% CI) |
Adjusted ORb (95% CI) |
IPTW modelb (95% CI) |
|
|---|---|---|---|---|---|
| Pain | 465 (29.0) | 59 (30.9) | 0.91 (0.66, 1.27) | 0.89 (0.63, 1.26) | 0.78 (0.61, 0.99) |
| Antipsychotica use | 529 (29.5) | 44 (20.4) | 1.64 (1.16, 2.32) | 1.43 (0.93, 2.19) | 1.02 (0.76, 1.37) |
| Restraint use | 233 (13.0) | 24 (11.1) | 1.18 (0.75, 1.85) | 1.44 (0.86, 2.40) | 1.83 (1.21, 2.76) |
| Pressure ulcer | 200 (11.2) | 41 (19.0) | 0.52 (0.36, 0.76) | 0.68 (0.45, 1.03) | 0.64 (0.47, 0.86) |
a
Among 2,007 residents who survived six months following the hip fracture
b
Adjusted for ADEPT score, race, and cognitive performance scale (CPS). Each model is also adjusted for pre-fracture status of the examined outcome, i.e., models examining pain, restraint, pressure ulcer and antipsychotic as outcomes were adjusted for pre fracture pain, restraint use, pressure ulcer, or antipsychotic use, respectively