Table 4.
Incidence rate ratio (IRR) for postoperative mortality after hip fracture surgery
| Variable | 30-day mortality IRR (95% CI) | p value |
|---|---|---|
| All-cause mortality | ||
| No dementia | Ref | |
| Dementia | 1.67 (1.60–1.75) | < 0.001 |
| Cause-specific mortality for patients with dementia* | ||
| Cardiovascular | 1.42 (1.32–1.54) | < 0.001 |
| Respiratory | 1.76 (1.57–1.99) | < 0.001 |
| Cerebrovascular** | 7.43 (4.99–11.07) | < 0.001 |
| Sepsis | 2.17 (1.47–3.22) | < 0.001 |
| Multi-organ failure | 1.66 (1.53–1.79) | < 0.001 |
| Unknown*** | 11.2 (8.06–15.58) | < 0.001 |
Poisson regression model with robust standard errors. Multiple imputation with chained equations was used to manage missing values. The model is adjusted for age, sex, American Society of Anesthesiologists (ASA) classification, fracture type, type of surgery, prior myocardial infarctions, prior cerebrovascular events, peripheral vascular disease, chronic obstructive pulmonary disease, congestive heart failure, connective tissue diseases, diabetes mellitus, liver disease, chronic kidney disease, as well as local tumor and metastatic carcinoma
*Reference group is patients without dementia
**Not adjusted for ASA classification and liver disease due to their inclusion resulting in a matrix that is computationally singular
***Not adjusted for ASA classification due to its inclusion resulting in a matrix that is computationally singular