Skip to main content

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