Table 4 Multivariable regression analysis of medical costs and length of stay.
Overall fractures | Hip fractures | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Medical costs (thousands USD) | Length of stay (days) | Medical costs (thousands USD) | Length of stay (days) | |||||||||
β | SE | P | β | SE | P | β | SE | P | β | SE | P | |
Fracture (ref = none) | 6.3 | 0.2 | < 0.001 | 44.2 | 2.6 | < 0.001 | 15.7 | 14 | < 0.001 | 170 | 10.4 | < 0.001 |
General characteristics | ||||||||||||
Male (ref = female) | 1.3 | 0.3 | < 0.001 | −22.3 | 3.2 | < 0.001 | 0.2 | 0.1 | < 0.001 | 6.5 | 0.4 | < 0.001 |
Age | 0.3 | 0.3 | < 0.001 | 8.2 | 0.3 | < 0.001 | 1.2 | 0.5 | 0.000 | -21.1 | 3.7 | < 0.001 |
Disability (ref = no) | 1.1 | 0.3 | 0.001 | 12.8 | 3.9 | 0.000 | 0.6 | -0.3 | 0.181 | 9.3 | 4.7 | 0.045 |
Medical Aid (ref = NHI) | 2.4 | 1.8 | 0.181 | 16 | 21 | 0.446 | 3.8 | -0.8 | 0.107 | 35.6 | 26.7 | 0.183 |
Income decile (ref = ≤ 2nd ) | ||||||||||||
3th − 5th | 0.1 | 0.4 | 0.840 | −6.5 | 4.3 | 0.126 | ||||||
6th − 8th | 0.0 | 0.3 | 0.910 | −11.3 | 3.8 | 0.000 | ||||||
9th - highest | 0.3 | 0.3 | 0.271 | −12.0 | 3.7 | 0.001 | ||||||
Health behavior | ||||||||||||
Alcohol use | −0.3 | 0.3 | 0.307 | 0.7 | 3.2 | 0.819 | 0 | -0.6 | 0.991 | 2.5 | 3.7 | 0.488 |
Level of exercise | −0.7 | 0.2 | 0.001 | −13.2 | 2.6 | < 0.001 | -0.8 | -1.3 | 0.003 | -14 | 3.1 | < 0.001 |
Obesity | 0.9 | 0.2 | 0.000 | −4.7 | 2.7 | 0.083 | -0.3 | -1.1 | 0.527 | -4.5 | 4.9 | 0.359 |
Smoking | 1.8 | 0.3 | < 0.001 | 16 | 3.5 | < 0.001 | 1.6 | 0.9 | < 0.001 | 11.8 | 3.9 | 0.003 |
Surgery | −0.6 | 0.3 | 0.068 | −17.3 | 4 | < 0.001 | -0.4 | -1.2 | 0.406 | -12.9 | 4.8 | 0.007 |
Health care utilization | ||||||||||||
ED visit | −0.2 | 0.8 | 0.782 | −11.3 | 8.8 | 0.203 | -0.3 | -2.1 | 0.786 | -11.9 | 10.7 | 0.266 |
Admission | −0.1 | 0.5 | 0.810 | −26.3 | 6.3 | < 0.001 | 0.1 | -1.2 | 0.876 | -23.8 | 7.4 | 0.001 |
No.of admissions | 1.9 | 0.3 | < 0.001 | 44 | 2.9 | < 0.001 | 1.5 | 1 | < 0.001 | 38.2 | 3.2 | < 0.001 |
No.of outpatient visits | 0.1 | 0.0 | < 0.001 | 0.5 | 0.1 | < 0.001 | 0.1 | 0.1 | < 0.001 | 0.4 | 0.1 | < 0.001 |
Comorbidities | - | - | ||||||||||
Hypertension | 1.5 | 0.2 | < 0.001 | 4.7 | 2.8 | 0.091 | 1.5 | 0.9 | < 0.001 | 5.4 | 3.3 | 0.102 |
Hyperlipidemia | 0.8 | 0.3 | 0.005 | −5.5 | 3.2 | 0.067 | 0.9 | 0.3 | 0.005 | -4.1 | 3.9 | 0.290 |
Diabetes mellitus | 2.2 | 0.3 | < 0.001 | 21.2 | 3.2 | < 0.001 | 1.6 | 1 | < 0.001 | 15.3 | 3.8 | < 0.0001 |
Ischemic heart disease | −0.9 | 1.0 | 0.336 | −5.7 | 11.2 | 0.613 | 0.6 | -1.8 | 0.636 | 33.3 | 13.9 | 0.017 |
Cardiac failure | −0.2 | 1.0 | 0.807 | 22.3 | 11.6 | 0.053 | -0.6 | -3 | 0.605 | -4.8 | 13.6 | 0.724 |
Stroke | −1.4 | 1.0 | 0.165 | 21.9 | 11.7 | 0.060 | -0.8 | -3.3 | 0.498 | 26.5 | 14.1 | 0.060 |
Cardiovascular disease | 1.8 | 1.0 | 0.089 | −1.4 | 12.1 | 0.906 | 1.5 | -1 | 0.235 | -0.5 | 14.6 | 0.975 |
Gastrointestinal disease | −0.1 | 0.3 | 0.578 | −9.8 | 3 | 0.001 | -0.4 | -1.1 | 0.158 | -11.5 | 3.6 | 0.001 |
Chronic renal disease | 9.4 | 1.8 | < 0.001 | −11.9 | 20.3 | 0.559 | 8.6 | 4.5 | < 0.001 | -24.2 | 23.9 | 0.313 |
Liver disease | −0.1 | 0.3 | 0.663 | −0.4 | 3.7 | 0.908 | -0.3 | -1 | 0.509 | -4.2 | 4.4 | 0.343 |
Chronic obstructive pulmonary disease | 0.1 | 0.6 | 0.901 | −5.3 | 7.4 | 0.469 | -0.1 | -1.7 | 0.863 | -5.9 | 8.8 | 0.502 |
Pneumonia | 0.2 | 0.7 | 0.795 | −5.9 | 7.9 | 0.459 | 0.7 | -1 | 0.440 | 1.8 | 9.6 | 0.852 |
Asthma | −1.1 | 0.7 | 0.130 | −12.3 | 8.2 | 0.134 | -0.7 | -2.4 | 0.413 | -2.7 | 9.8 | 0.782 |
Respiratory disease | 1.2 | 0.8 | 0.106 | 9.5 | 8.8 | 0.281 | 1.1 | -0.7 | 0.219 | 2.6 | 10.6 | 0.802 |
Osteoporosis | 0.3 | 0.4 | 0.442 | 1.7 | 4.9 | 0.731 | 0.4 | -0.8 | 0.527 | 3.4 | 6.4 | 0.600 |
Arthritis | 2.1 | 0.6 | 0.000 | 24 | 6.9 | 0.001 | 1.6 | 0.1 | 0.039 | 23.1 | 8.9 | 0.010 |
Muscular disease | −0.4 | 0.7 | 0.504 | −13.6 | 7.5 | 0.068 | 0 | -1.6 | 0.960 | -15.2 | 9.5 | 0.110 |
Dementia | 3.6 | 0.7 | < 0.001 | 74.5 | 7.9 | < 0.001 | 3.8 | 2.2 | < 0.001 | 85.4 | 9.5 | < 0.001 |
Charlson comorbidity index (ref = 0) | - | - | - | - | ||||||||
1 | 1.1 | 276.4 | < 0.001 | 3 | 3.2 | 0.355 | 1 | 0.3 | 0.003 | 1.2 | 3.7 | 0.742 |
2 | 2.0 | 334.1 | < 0.001 | 9.3 | 3.9 | 0.016 | 1.8 | 1 | < 0.001 | 7.2 | 4.6 | 0.116 |
≥ 3 | 3.5 | 390.6 | < 0.001 | 19.7 | 4.5 | < 0.001 | 3.6 | 2.7 | < 0.001 | 21.8 | 5.5 | < 0.001 |