Table 5.
Predictors of new care home admission at time of discharge (n = 236)
| Variables | N (%; 95%CI) with new care home admission at discharge | Unadjusted model | Adjusted model |
|---|---|---|---|
| Total N = 236 | Odds ratio (95% confidence interval) | ||
| Age | |||
| 65–74 (n = 1777) | 12 (0.7; 0.4–1.2) | 1 | 1 |
| 75–84 (n = 2318) | 84 (3.6; 2.9–4.5) | 5.53 (3.01–10.16) | 3.79 (2.04–7.07) |
| ≥ 85 (n = 1475) | 140 (9.5; 8.1–11.1) | 15.43 (8.52–27.93) | 6.43 (3.47–11.89) |
| Sex | |||
| Women (n = 3138) | 167 (5.3; 4.6–6.2) | 1 | 1 |
| Men (n = 2432) | 69 (2.8; 2.3–3.6) | 0.52 (0.39–0.69) | 0.68 (0.50–0.93) |
| Deprivation (SIMD quintile) | |||
| 1 most deprived (n = 1151) | 26 (2.3; 1.6–3.3) | 0.49 (0.30–0.82) | 0.52 (0.30–0.90) |
| 2 (n = 1473) | 56 (3.8; 2.9–4.9) | 0.84 (0.55–1.29) | 0.88 (0.56–1.39) |
| 3 (n = 1266) | 62 (4.9; 3.8–6.2) | 1.10 (0.73–1.67) | 1.02 (0.65–1.61) |
| 4 (n = 853) | 55 (6.4; 5.0–8.3) | 1.47 (0.96–2.26) | 1.26 (0.79–2.01) |
| 5 most affluent (n = 827) | 37 (4.5; 3.3–6.1) | 1 | 1 |
| Charlson Comorbidity Index (CCI) | |||
| CCI 0 (n = 1424) | 83 (5.8; 4.7–7.2) | 1 | 1 |
| CCI 1 (n = 1496) | 58 (3.9; 3.0–5.0) | 0.65 (0.46–0.92) | 1.00 (0.68–1.46) |
| CCI 2 to 5 (n = 2233) | 83 (3.7; 3.0–4.6) | 0.62 (0.46–0.85) | 0.87 (0.61–1.23) |
| CCI ≥ 6 (n = 417) | 12 (2.9; 1.7–5.0) | 0.48 (0.26–0.89) | 0.98 (0.50–1.90) |
| Cognitive spectrum disorder | |||
| None (n = 3903) | 55 (1.4; 1.1–1.8) | 1 | 1 |
| Delirium alone (n = 821) | 52 (6.3; 4.9–8.2) | 4.73 (3.21–6.97) | 3.04 (2.03–4.57) |
| Known dementia (n = 335) | 36 (10.7; 7.9–14.5) | 8.43 (5.45–13.03) | 4.28 (2.69–6.82) |
| Delirium superimposed on dementia (n = 285) | 75 (26.3; 21.6–31.7) | 25.00 (17.18–36.34) | 11.72 (7.82–17.56) |
| Unspecified cognitive impairment (n = 226) | 18 (8.0; 5.1–12.2) | 6.05 (3.49–10.50) | 3.65 (2.06–6.47) |
| No. of medications | |||
| 0–5 (n = 1746) | 99 (5.7; 4.7–6.9) | 1 | 1 |
| 6–10 (n = 2204) | 97 (4.4; 3.6–5.3) | 0.77 (0.57–1.02) | 0.74 (0.53–1.02) |
| > 10 (n = 1620) | 40 (2.5; 1.8–3.4) | 0.42 (0.29–0.61) | 0.42 (0.28–0.64) |
| Activities of daily living (ADL) score | |||
| Persistently high ADL (n = 1956) | 31 (1.6; 1.1–2.2) | 1 | 1 |
| Changed ADL (n = 1341) | 92 (6.9; 5.6–8.3) | 4.55 (3.45–6.00) | 2.99 (2.06–4.36) |
| Persistently low ADL (n = 681) | 102 (15.0; 12.5–17.9) | 1.39 (1.05–1.82) | 1.89 (1.31–2.71) |
Italic text denotes results which are statistically significant
95%CI 95% confidence interval; SIMD Scottish Index of Multiple Deprivation