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Table 3 Factors associated with ambulatory versus non-ambulatory status at 30 days (OR and p values shown adjusted for age and sex), bold values are those significant at the p = 0.001 level

From: Factors associated with admission to bed-based care: observational prospective cohort study in a multidisciplinary same day emergency care unit (SDEC)

 

Ambulatory

n = 315a

Admitted

n = 210

OR

CI (95%)

p

Demographics and Transport

 Age (mean +/− SD)

71.5 (18.6)

81.4 (17.5)

   

 Female

187 (59.4)

124 (59.1)

0.87

0.60–1.23

0.45

 Transport required

115 (36.5)

145 (69.7)

2.84

1.91–4.24

< 0.0001

Co-morbidities

 Charlson Score > 3

204 (64.8)

188 (89.5)

2.46

1.24–4.89

0.01

 Number of medications> 7

133 (42.2)

108 (51.4)

1.14

0.79–1.64

0.50

Physical Frailty markers

Any care at home

135 (42.9)

144 (70.9)

2.17

1.42–3.31

< 0.0001

Modified Rankin Scale > 2

149 (47.3)

177 (84.3)

1.76

1.48–2.09

< 0.0001

 Barthel< 20

145 (46.0)

151 (71.9)

1.99

1.30–3.05

0.001

History of falls

56 (17.8)

86 (41.3)

2.30

1.51–3.50

< 0.0001

 Visual impairment

27 (8.6)

36 (17.1)

1.74

1.01–3.01

0.05

 Hearing impairment

36 (11.4)

48 (22.9)

1.57

0.95–2.57

0.08

 Urinary incontinenceb

45 (14.3)

67 (32.2)

2.03

1.28–3.21

0.002

Faecal incontinence or stoma

17 (5.4)

40 (19.2)

3.44

1.85–6.41

< 0.0001

 MUST> 0

46 (14.6)

58 (27.6)

1.87

1.19–2.94

0.007

Braden score < 19

62 (19.7)

115 (54.8)

3.62

2.38–5.50

< 0.0001

 Patient’s perception of any weight loss

41 (13.0)

56 (26.7)

1.74

1.18–2.55

0.005

Therapy input required

58 (18.4)

117 (55.7)

4.32

2.87–6.51

< 0.0001

 Clinician imp. of frailty

104 (33.0)

140 (67.3)

3.05

2.03–4.58

< 0.0001

Cognitive frailty markers

Dementia

25 (7.9)

50 (24.0)

2.65

1.56–4.50

< 0.0001

Delirium

8 (2.5)

78 (37.1)

17.54

8.17–37.66

< 0.0001

AMTS < 9

56 (17.8)

104 (49.5)

3.32

2.17–5.08

< 0.0001

Presenting complaint

 Shortness of breath

130 (41.3)

64 (30.8)

0.65

0.44–0.95

0.025

Confusion/altered behaviour

19 (6.0)

77 (37.0)

7.04

4.05–12.24

< 0.0001

Decreased mobility

101 (32.1)

152 (73.1)

4.40

2.93–6.61

< 0.0001

Increased care needs

74 (23.5)

153 (73.6)

7.61

4.94–11.74

< 0.0001

 Falls

44 (14.0)

62 (29.8)

1.87

1.15–2.94

0.007

Illness severity and diagnosis

SIRS > 1

75 (23.8)

82 (39.0)

2.31

1.54–3.46

< 0.0001

NEWS > 4

42 (13.3)

59 (28.1)

2.47

1.56–3.93

< 0.0001

Any bacterial infection

106 (33.7)

104 (50.0)

2.09

1.43–3.04

< 0.0001

Clinical dehydration

66 (21.0)

95 (45.7)

2.66

1.79–3.95

< 0.0001

Anaemia

56 (17.8)

14 (6.7)

0.30

0.16–0.56

< 0.0001

 Electrolyte derangement

27 (8.6)

30 (14.3)

1.45

0.83–2.56

0.19

 Heart failure

33 (10.5)

24 (11.4)

0.78

0.44–1.39

0.41

 AKI

22 (7.0)

29 (13.9)

1.65

1.09–2.51

0.02

Diagnostics

Point-of-care blood test

245 (77.8)

193 (91.9)

3.05

1.71–5.44

< 0.0001

 Laboratory blood test

225 (71.4)

167 (79.5)

1.49

1.00–2.29

0.07

Any X-ray

155 (49.2)

144 (69.2)

2.06

1.41–3.02

< 0.0001

 Intravenous treatment

161 (51.1)

139 (66.8)

1.74

1.19–2.53

0.004

 Oral medication

133 (42.2)

106 (50.5)

1.39

0.96–2.00

0.08

 Medication stopped

54 (17.1)

62 (29.5)

1.55

1.00–2.40

0.05

Mortality

Death < 30 days

6 (1.9)

25 (11.9)

5.60

2.23–14.09

< 0.0001

Death < 1 year

44 (14.0)

83 (39.5)

3.52

2.27–5.45

< 0.0001

  1. a30-day outcomes were unavailable for 8 patients. bincludes urinary catheters