This registry study describes the characteristics and outcomes of a large cohort of hip fracture patients, highlighting high rates of readmission and mortality.
High post-hip fracture readmission and mortality signal care gaps; leaves open modifiable factors for prospective trials.
Cases of hip fracture recorded from 1/2009 to 12/2011 were ascertained using the Kaiser Permanente Hip Fracture Registry. The registry collects information on patient, procedure, surgeon, facility, and surgical outcomes. The population (N = 12,562) was predominantly white, women, and older (≥ 75 years), and 32% had at least 5 comorbidities. The average length of follow-up was 1.1 years. Hemiarthroplasty was the most common procedure (33.1%). Most fractures were treated by medium-volume surgeons at high-volume facilities. The 90-day readmission rate was 22.1%, and the mortality rate was 12.3%.
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Inacio et al. (2015) studied this question.
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