Demographics, complications, outcomes, and discharge disposition across functional dependence groups. Increasing functional dependence category was analyzed as a predictor for various inferior outcomes with 95% CIs.
Characteristics | Functional Dependence Groups | Increasing Functional Dependence | |||||
Independent (N = 39,030) | Moderate (N = 1774) | Severe (N = 186) | P Value | OR | 95% CI | P Value | |
Demographics | |||||||
Age (y) | 57 ± 13 | 62 ± 14 | 56 ± 19 | <0.001a | 3.41 | (2.89–3.95) | <0.001a |
Body mass index (kg/m2) | 30 ± 6.5 | 30 ± 7.8 | 28 ± 9.5 | 0.005a | −0.24 | (−0.50 to 0.03) | 0.084 |
Sex (% women) | 53% | 49% | 49% | 0.002a | 0.87 | (0.80–0.95) | 0.001a |
Invasiveness index | 6.8 ± 3.9 | 8.3 ± 4.9 | 9.0 ± 6.1 | <0.001a | 1.37 | (1.21–1.53) | <0.001a |
Charlson Comorbidity Index | 2.4 ± 1.6 | 3.4 ± 2.1 | 3.0 ± 2.3 | <0.001a | 0.73 | (0.66–0.80) | <0.001a |
Complications | |||||||
Surgical site infection | 1.5% | 2.9% | 2.2% | <0.001a | 1.48 | (1.15–1.90) | 0.002a |
Urinary tract infection | 1.5% | 4.5% | 11.3% | <0.001a | 2.45 | (2.04–2.95) | <0.001a |
Deep venous thrombosis | 1.2% | 3.7% | 5.4% | <0.001a | 2.12 | (1.71–2.63) | <0.001a |
Implant failure | 2.2% | 2.8% | 2.2% | 0.140 | 1.06 | (0.82–1.36) | 0.668 |
Clinical outcomes | |||||||
Inpatient length of stay (d) | 3.8 ± 7.6 | 8.4 ± 9.4 | 10.9 ± 13 | <0.001a | 3.38 | (3.08–3.68) | <0.001a |
Any readmission | 10.3% | 30.2% | 2.7% | <0.001a | 2.72 | (2.48–2.98) | <0.001a |
Never events overall | 4.0% | 9.9% | 17.7% | <0.001a | 1.97 | (1.72–2.26) | <0.001a |
Discharge disposition | |||||||
Home | 77.1% | 32.6% | 26.9% | <0.001a | 0.21 | (0.19–0.23) | <0.001a |
Subacute rehab | 7.5% | 19.7% | 16.7% | <0.001a | 1.63 | (1.63–1.45) | <0.001a |
Acute care facility | 0.3% | 1.5% | 3.2% | <0.001a | 2.69 | (1.87–3.86) | <0.001a |
Skilled nursing facility | 7.1% | 17.5% | 18.8% | <0.001a | 1.51 | (1.33–1.71) | <0.001a |
Expired | 0.2% | 0.9% | 3.8% | <0.001a | 2.54 | (1.67–3.84) | <0.001a |
↵a Statistically significant at P < 0.05.