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Table 2 Multivariate regression models to predict recovery after acute hospitalization and post-acute care

From: Assessment of recovery in older patients hospitalized with different diagnoses and functional levels, evaluated with and without geriatric assessment

 

Univariate, unadjusted model

Multivariate, adjusted models

  

BI, no further geriatric assessment

BI and further geriatric assessment

 

ORa (95 % CI) p

OR (95 % CI) p

OR (95 % CI) p

RAPID recoverya, n = 785

   

 BI 80–100 (ref)

   

 BI 50–79

0.24 (0.16–.0.37) <0.001

0.31 (0.23–0.58) <0.001

0.35 (0.19–0.62) <0.001

 BI < 50

0.07 (0.04–0.13) <0.001

0.16 (0.08–0.29) <0.001

0.17 (0.08–0.37) <0.001

 Medical diagnosis (ref)

   

 Contusions/vert comp fr

0.62 (0.38–1.00) 0.05

0.69 (0.38–1.25) 0.22

0.63 (0.29–1.24) 0.17

 All other fractures

0.19 (0.13–0.29) <0.001

0.21 (0.11–0.39) <0.001

0.15 (0.07–0.31) <0.001

 Aged

0.97 (0.94–0.99) 0.01

0.97 (0.94–0.99) 0.02

0.98 (0.95–1.02) 0.27

 Receive home care

0.61 (0.44–0.86) 0.004

0.64 (0.42–0.95) 0.03

0.88 (0.53–1.45) 0.61

 Admitted after a fall

0.38 (0.27–0.54) <0.001

0.84 (0.49–1.44) 0.53

0.75 (0.39–1.44) 0.39

 MMSE < 24

0.35 (0.24–0.50) <0.001

__

0.46 (0.29–0.74) <0.001

 GDSd

0.95 (0.92–0.98) <0.001

__

0.95 (0.91–0.98) 0.004

 MNA-SFd

1.06 (1.00–1.13) 0.06

__

0.99 (0.91-1.07) 0.72

SLOW recoveryb, n = 106

   

 BI 80–100 (ref)

   

 BI 50–79

5.25 (3.03–9.12) <0.001

3.66 (1.90–7.05) <0.001

3.60 (1.86–6.96) <0.001

 BI < 50

11.76 (5.78–23.95) < 0.001

6.30 (2.97–13.56) <0.001

4.16 (1.60–10.77) 0.003

 Medical diagnosis (ref)

   

 Contusions/vert comp fr

1.61 (0.86–3.02) 0.14

1.35 (0.65–2.82) 0.42

0.90 (0.40–2.06) 0.81

 All other fractures

6.92 (4.35–11.02) <0.001

4.50 (2.24–9.05) <0.001

6.58 (2.87–14.99) <0.001

 Aged

1.00 (0.97–1.03) 0.99

__

__

 Receive home care

0.96 (0.63–1.46) 0.85

__

__

 Admitted after a fall

3.35 (2.18–5.15) <0.001

1.01 (0.53–1.94) 0.98

0.87 (0.41–1.84) 0.72

 MMSE < 24

2.03 (1.28–3.24) 0.003

__

1.96 (1.12–3.42) 0.02

 GDSd

1.04 (1.00–1.07) 0.04

__

1.04 (0.99–1.08) 0.07

 MNA-SFd

0.98 (0.91–1.06) 0.65

__

__

POOR recoveryc, n = 66

   

 BI 80–100 (ref)

   

 BI 50–79

2.72 (1.38–5.36) 0.004

1.87 (0.91–3.82) 0.09

2.52 (0.95–6.72) 0.06

 BI < 50

16.02 (7.57–34.13) <0.001

6.87–2.94–16.01) <0.001

8.33 (2.76–25.16) <0.001

 Medical diagnosis (ref)

   

 Contusions/vert comp fr

1.68 (0.88–3.23) 0.12

1.81 (0.75–4.31) 0.19

2.27 (0.96–5.38) 0.06

 All other fractures

2.73 (1.50–4.97) 0.001

3.15 (1.20–8.25) 0.02

3.26 (1.04–10.21) 0.04

 Aged

1.10 (1.05–1.15) <0.001

1.08 (1.02–1.31) 0.004

1.05 (0.99–1.17) 0.09

 Receive home care

3.90 (2.23–6.79) <0.001

3.17 (1.64–6.15) 0.001

2.45 (1.07–5.62) 0.03

 Admitted after a fall

1.73 (1.04–2.87) 0.04

0.73 (0.32–1.67) 0.46

0.92 (0.35–2.41) 0.87

 MMSE < 24

5.02 (2.80–9.00) <0.001

__

2.95 (1.43–6.08) 0.003

 GDSd

1.08 (1.04–1.13) <0.001

__

1.06 (1.00–1.13) 0.06

 MNA-SFd

0.88 (0.80–0.97) 0.01

__

0.95 (0.83–1.01) 0.47

  1. BI Barthel Index sumscore, OR Odds Ratio, CI confidence interval, ref reference category, vert comp fr vertebrae compression fracture, MMSE Mini Mental Status Examination, GDS Geriatric Depression Scale, MNA-SF Mini Nutritional Assessment-Short Form
  2. aReturn home within 2 weeks, bNursing home stay up to 2 months before return home, bDead or still in nursing home at 2 months, dVariables are per unit increase
  3. The variables sex, living alone, > 5 diagnoses and using > 5 drugs, demonstrated no association with slow or poor recovery in the univariate analysis, were not included in the multivariate analysis and are not shown in the table
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European Review of Aging and Physical Activity

ISSN: 1861-6909

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