Latent profiles of readiness for hospital discharge and associated factors in patients with accidental traumatic fractures

Abstract Previous studies of readiness for hospital discharge (RHD) in orthopaedic populations have mainly used overall scores, leaving heterogeneity among adults with accidental traumatic fractures unclear. This cross-sectional study identified latent RHD profiles and factors associated with profile membership. A convenience sample of 346 adults aged 18 ~ 65 years was recruited from a tertiary hospital in Zhejiang, China; 56.6% were male. Patients with pathological fractures, traumatic brain injury, mental illness, or cognitive/communication impairment were excluded. Latent profile analysis and multivariable logistic regression were performed. A two-profile solution was retained (entropy = 0.862; LMR and BLRT both P < 0.001). The Low Discharge Readiness profile (28.32%) showed lower scores across personal status, adaptability, and expected support, with adaptability relatively weakest; The High Discharge Readiness profile (71.68%) showed higher scores across all dimensions, with expected support relatively strongest. Higher psychological resilience (OR = 1.114, 95% CI 1.053–1.179) and social support (OR = 1.104, 95% CI 1.020–1.195) were associated with higher odds of membership in the High Discharge Readiness profile, whereas female sex (OR = 0.233, 95% CI 0.084–0.647), unmarried status (OR = 0.198, 95% CI 0.042–0.943), ISS ≥ 16 (OR = 0.220, 95% CI 0.059–0.827), and poorer nurse-rated psychological status (OR = 0.830, 95% CI 0.769–0.895) were associated with lower odds of membership in this profile.