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 |