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Table 3 Comparison of clinical outcomes between baseline and ValuedCare patients

From: ValuedCare program: a population health model for the delivery of evidence-based care across care continuum for hip fracture patients in Eastern Singapore

Mortality rates

 Variable

Baseline (n = 351)

ValuedCare (n = 329)

p value

  Index inpatient mortality, n (%)

6 (1.7%)

4 (1.2%)

0.75

 Variable

Baseline (n = 344*)

ValuedCare (n = 325*)

p value

  Post-discharge 30 days mortality rate, n (%)

1 (0.3%)

4 (1.2%)

0.2

  Post-discharge 12 months mortality rate, n (%)

27 (7.8%)

26 (8.0%)

0.94

Acute hospital inpatient complications

 Variable

Baseline (n = 351)

ValuedCare (n = 329)

p value

  Wound infection

1 (0.3%)

0 (0.0%)

0.5136

  Implant failure

4 (1.1%)

1 (0.3%)

0.374

  Delirium

36 (10.3%)

13 (4.0%)

0.002

  Acute retention of urine (ARU)

53 (15.1%)

34 (10.3%)

0.067

  Pneumonia

45 (12.8%)

13 (4.0%)

< 0.001

  Urinary tract infection (UTI)

90 (25.6%)

16 (4.9%)

< 0.001

  Pressure sore

39 (11.1%)

1 (0.3%)

< 0.001

  Deep vein thrombosis

4 (1.1%)

8 (2.4%)

0.250

  Pulmonary embolism

5 (1.4%)

2 (0.6%)

0.452

  Acute myocardial infarction

8 (2.3%)

5 (1.5%)

0.580

  Stroke

4 (1.1%)

2 (0.6%)

0.687

Readmission rates

Baseline (n = 344*)

ValuedCare (n = 325*)

 

 30-day readmission (all cause), n (%)

26 (7.6%)

31 (9.5%)

0.36

 30-day readmission (hip fracture related), n (%)

17 (4.9%)

12 (3.7%)

0.42

 180-day readmission (all cause), n (%)

74(21.5%)

72 (22.2%)

0.84

 180-day readmission (hip fracture related), n (%)

44 (12.8%)

27 (8.3%)

0.06

Time to surgery

Baseline (n = 351)

ValuedCare (n = 329)

 

 Surgery within 48 h from time of decision to admit

66 (18.8%)

158 (48.0%)

< 0.001

 Time to surgery, h

  

< 0.001

 Mean (SD)

119.2 (86.3)

70.63 (64.4)

 Median (min–max)

97 (11–499)

50.5 (0.11–638)

  1. *Inpatient deaths and discharge against advice cases are taken out of the analysis