Table 2 Discharge by timing of mobilisation among patients surgically treated for non-pathological first hip fracture for subgroups defined by dementia, delirium, hypotension, prefracture ambulation and prefracture residence
Mobilisation timing | No. of patients | No of deathsa | No. of live dischargesb | Live discharge rate (95% CI)c | 30-day CIF, c (95% CI) | p-value§ | Unadjusted OR of CIF (95% CI) | Adjusted OR of CIF (95% CI)d |
|---|---|---|---|---|---|---|---|---|
patients with dementia | ||||||||
Overall | 34,253 | 17,083 | 2171 | 31.9 (31.4–32.4) | 630 (624–636) |  |  |  |
Mobilised late | 9443 | 4179 | 992 | 26.8 (26–27.6) | 545 (534–557) |  | 1.00 | 1.00 |
Mobilised early | 24,810 | 12,904 | 1179 | 34 (33.4–34.6) | 664 (656–671) | < 0.001 | 1.72 (1.62–1.82) | 1.83 (1.70–1.97) |
patients without dementia | ||||||||
Overall | 80,442 | 43,017 | 2683 | 42.4 (42.0–42.8) | 749 (745–753) |  |  |  |
Mobilised late | 14,700 | 5874 | 1179 | 26.2 (25.5–26.9) | 574 (564–585) |  | 1.00 | 1.00 |
Mobilised early | 65,742 | 37,143 | 1504 | 46.9 (46.5–47.4) | 791 (787–795) | < 0.001 | 2.67 (2.57–2.77) | 2.28 (2.17–2.39) |
patients with delirium | ||||||||
Overall | 9818 | 4010 | 775 | 23.9 (23.2–24.7) | 537 (526–549) |  |  |  |
Mobilised late | 2746 | 929 | 336 | 19 (17.8–20.3) | 436 (414–458) |  | 1.00 | 1.00 |
Mobilised early | 7072 | 3081 | 439 | 26 (25.1–26.9) | 578 (564–592) | < 0.001 | 1.94 (1.72–2.19) | 1.84 (1.59–2.13) |
patients without delirium | ||||||||
Overall | 104,877 | 56,090 | 4079 | 40.6 (40.2–40.9) | 727 (723–730) |  |  |  |
Mobilised late | 21,397 | 9124 | 1835 | 27.5 (27–28.1) | 578 (57–587) |  | 1.00 | 1.00 |
Mobilised early | 83,480 | 46,966 | 2244 | 44.7 (44.2–45.1) | 768 (764–772) | < 0.001 | 2.40 (2.32–2.48) | 2.16 (2.07–2.26) |
patients with hypotension | ||||||||
Overall | 10,123 | 4425 | 759 | 28.1 (27.3–28.9) | 599 (587–611) |  |  |  |
Mobilised late | 2825 | 939 | 391 | 19.9 (18.7–21.2) | 448 (426–47) |  | 1.00 | 1.00 |
Mobilised early | 7298 | 3486 | 368 | 31.5 (30.5–32.6) | 661 (647–675) | < 0.001 | 2.39 (2.14–2.66) | 2.11 (1.85–2.42) |
patients without hypotension | ||||||||
Overall | 104,572 | 55,675 | 4095 | 40.0 (39.6–40.3) | 720 (716–723) |  |  |  |
Mobilised late | 21,318 | 9114 | 1780 | 27.4 (26.8–27.9) | 576 (568–584) |  | 1.00 | 1.00 |
Mobilised early | 83,254 | 46,561 | 2315 | 43.9 (43.5–44.3) | 76 (756–763) | < 0.001 | 2.36 (2.28–2.44) | 2.12 (2.03–2.22) |
patients with indoor ambulation only prefracture | ||||||||
Overall | 30,834 | 14,200 | 2189 | 30.2 (29.7–30.7) | 611 (604–618) |  |  |  |
Mobilised late | 9171 | 3742 | 1099 | 25.1 (24.3–25.9) | 523 (511–535) |  | 1.00 | 1.00 |
Mobilised early | 21,663 | 10,458 | 1090 | 32.6 (32.0–33.2) | 651 (643–659) | < 0.001 | 1.82 (1.72–1.93) | 1.78 (1.65–1.92) |
patients with outdoor ambulation prefracture | ||||||||
Overall | 100,983 | 55,344 | 3265 | 42.5 (42.1–42.8) | 746 (743–750) |  |  |  |
Mobilised late | 18,064 | 7696 | 1312 | 27.6 (27–28.2) | 588 (579–597) |  | 1.00 | 1.00 |
Mobilised early | 82,919 | 47,648 | 1953 | 46.5 (46.1–47.0) | 784 (780–787) | < 0.001 | 2.48 (2.4–2.57) | 2.28 (2.18–2.4) |
patients admitted from residential care | ||||||||
Overall | 23,588 | 16,252 | 1428 | 50.5 (49.7–51.2) | 779 (773–784) |  |  |  |
Mobilised late | 7065 | 4448 | 674 | 42.7 (41.4–43.9) | 707 (696–719) |  | 1.00 | 1.00 |
Mobilised early | 16,523 | 11,804 | 754 | 54.2 (53.2–55.2) | 810 (803–817) | < 0.001 | 1.68 (1.59–1.79) | 1.64 (1.51–1.77) |
patients admitted from home | ||||||||
Overall | 107,144 | 53,284 | 3938 | 37.3 (37.0–37.6) | 700 (696–703) |  |  |  |
Mobilised late | 19,779 | 6977 | 1694 | 22.1 (21.6–22.6) | 512 (530–521) |  | 1.00 | 1.00 |
Mobilised early | 87,365 | 46,307 | 2244 | 41.6 (41.2–42.0) | 746 (742–749) | < 0.001 | 2.85 (2.75–2.96) | 2.30 (2.19–2.41) |