Table 4

Multilevel regression analysis results showing univariate and multivariate predictors of quality of annual dementia review and overall care

Dementia reviewaOverall careb
UnivariateMultivariateUnivariateMultivariate
Odds ratio (95% CI)P-valueOdds ratio (95% CI)P-valueCoefficient % (95% CI)P-valueCoefficient % (95% CI)P-value
Patient level factors
Age, years0.9 (0.9 to 1.0)0.239−2.1 (−4.5 to 0.4)c0.105
Males1.1 (0.8 to 1.5)0.5671.1 (−3.5 to 5.8)0.632
Nursing/care home (compared with community)0.7 (0.5 to 1.0)0.038−9.4 (−14.1 to −4.7)<0.001
Duration of dementia, that is since diagnosis, in years0.9 (0.9 to 1.0)0.100−1.4 (–2.4 to −0.5)0.004
Subtype Alzheimer’s disease, reference category
Subtype vascular dementia0.7 (0.5 to 0.9)0.0100.7 (0.5 to 1.0)0.031−17.8 (−22.7 to 12.8)<0.001−18.2 (−23.9 to −12.4)<0.001
All other subtypes0.6 (0.5 to 0.9)0.014−15.2 (−20.7 to −9.7)<0.001−13.6 (−19.8 to −7.4)<0.001
Comorbid physical conditions (number)1.0 (0.9 to 1.1)0.632−0.8 (−2.3 to 0.7)0.310
Number of medications1.0 (0.9 to 1.1)0.998−0.3 (−0.9 to 0.3)0.317
Practice-level factors
Multi-handed practice2.2 (1.2 to 4.0)0.0112.2 (1.1 to 4.5)0.03011.3 (2.7 to 19.9)0.0109.9 (0.03 to 19.7)0.049
List size of patients aged >65 years1.0 (1.0 to 1.0)0.4152.5 (−3.1 to 8.0)d0.386
Socioeconomic deprivation (IMD 2007)1.0 (0.9 to 1.1)0.194−0.2 (−0.4 to 0.01)0.054
  • a Ordinal outcome variable (six categories, 0–5).

  • b Continuous outcome variable (range 0 to 1).

  • c Per 10 year.

  • d Per 1000 patients. IMD 2007 = Index of Multiple Deprivation 2007.20