Key result
Surgical treatment for hip fracture in older patients was associated with a 32% 1-year readmission rate, of which 53% were related to the index stay.
Why the study?
What factors are associated with readmissions related to the index surgical stay in older patients surgically treated for hip fracture?
Cohort (n=5,709)
Yes
What factors are associated with readmissions related to the index surgical stay in older patients surgically treated for hip fracture?
Half of readmissions after hip fracture surgery in older patients are related to the index stay, mostly occurring early post-discharge, highlighting the need for improved orthopedic-geriatric co-care.
May warrant closer early post-discharge monitoring after hip fracture surgery; leaves open which factors predict index-related readmissions.
BACKGROUND: in older patients, there is a high risk of hospital readmission within the first year after surgery for hip fracture, due to complications following treatment or to the evolution of prior comorbid conditions. OBJECTIVES: to identify factors associated with readmissions related to the index surgical stay. DESIGN: retrospective cohort study. SETTING: administrative claims databases. SUBJECTS: patients over 75 surgically treated for hip fracture in Paris area. METHODS: we analysed all admissions in 2005, and tracked for 1-year readmissions. First readmissions (FRs) were classified as related or unrelated to the index stay, according to rules defined a priori. We analysed the association between patient characteristics and the FR. RESULTS: among 5,709 patients, 32% had at least one readmission, 53% were FR related. Near 80% of related readmissions occurred within 3 months from discharge. Surgical conditions caused 47% of all related readmissions, and male gender, dementia, cancer or kidney diseases were independent risks factors. CONCLUSIONS: half of readmissions could be classified as related to the index stay and a great majority of these occurred early post discharge. Surgical conditions caused 47% of all related readmissions. Improvement in orthopedic-geriatric co-care is suitable to expect an impact on outcomes after surgery.
No takes yet. Share an insight, caveat, or question.
Teixeira et al. (2009) conducted a cohort in hip fracture (n=5,709). Surgical treatment for hip fracture was evaluated on 1-year readmissions. Surgical treatment for hip fracture in older patients was associated with a 32% 1-year readmission rate, of which 53% were related to the index stay.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: