What question did this study set out to answer?

This study aims to explore the causes of hospital readmission after hip fracture and their impact on physical function and mortality.

February 20, 2003Journal of the American Geriatrics Society

Hospital Readmissions After Hospital Discharge for Hip Fracture: Surgical and Nonsurgical Causes and Effect on Outcomes

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Why the study?

What are the causes of hospital readmission after hip fracture, and how does readmission affect 6-month physical function and mortality?

Population

562 patients hospitalized for hip fracture aged 50 and older and discharged alive in 1997-1998, 82% women…

Design

Cohort

Follow-up

6 months

Authors

KBKenneth S. BoockvarUniversity of Alabama at Birmingham EHEthan A. HalmRutgers, The State University of New Jersey ALAnn LitkeIcahn School of Medicine at Mount Sinai

Discussion

Member takes

Implication

Readmissions after hip fracture flag high-risk patients for closer monitoring; leaves open whether targeting nonsurgical causes improves outcomes.

Key Points

This study aims to explore the causes of hospital readmission after hip fracture and their impact on physical function and mortality.
Prospective, multisite, observational cohort study
Included 562 patients aged 50+ discharged from four NYC hospitals in 1997-1998
Measured prefracture and 6-month mobility using the Functional Independence Measure.
32% of patients (178) were readmitted within 6 months, with 8% readmitted more than once
89% of readmissions were due to nonsurgical problems, primarily infections (21%) and cardiac issues (12%)
Readmitted patients had higher odds of requiring total ambulation assistance (OR=2.7, 95% CI=1.6-4.6) and increased mortality risk (OR=4.0, 95% CI=2.2-7.3).

Structured PICO

What are the causes of hospital readmission after hip fracture, and how does readmission affect 6-month physical function and mortality?

Population

562 patients hospitalized for hip fracture aged 50 and older and discharged alive in 1997-1998, 82% women, 93% white, from four hospitals in the New York City metropolitan area.

Outcome

Causes of hospital readmission after hip fracture and the relationships between hospital readmission and 6-month physical function and mortalityhard clinical

Hospital readmissions after hip fracture are common, predominantly due to nonsurgical illnesses, and are strongly associated with increased 6-month mortality and functional decline.

Cite This Study

Boockvar et al. (2003) studied this question.

synapsesocial.com/papers/6a078398beabdc12ba079b72 https://doi.org/10.1046/j.1532-5415.2003.51115.x

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Implication

Readmissions after hip fracture flag high-risk patients for closer monitoring; leaves open whether targeting nonsurgical causes improves outcomes.

Hospital Readmissions After Hospital Discharge for Hip Fracture: Surgical and Nonsurgical Causes and Effect on Outcomes

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Hospital Readmissions After Hospital Discharge for Hip Fracture: Surgical and Nonsurgical Causes and Effect on Outcomes

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider