Journal Article10.1007/S00068-018-0997-5
Prediction of readmissions in the first post-operative year following hip fracture surgery
Tal Frenkel Rutenberg,Ran Rutenberg,Maria Vitenberg,Nir Cohen,Yichayaou Beloosesky,Steven Velkes +5 more
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TL;DR: High 1-year readmission rates are seen following discharge in patients with fragility hip fractures, and addressing risk factors might aid to better rehabilitate patients and reduce morbidity.
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Abstract: To define risk factors for rehospitalization following fragility hip fractures and to create a predictive model. A retrospective cohort study of patients 65 years and older, who were treated operatively following fragility hip fractures between 01.2011 and 06.2016. Patients were allocated into two study groups based on the occurrence of recurrent hospitalizations in the year following surgery. Demographic information, comorbidities, and in-hospital characteristics were collected, as was information regarding 1-year readmissions. Multivariate analysis of factors predictive of rehospitalizations was performed, followed by a logistic regression using all predictors with p < 0.05. A stepwise backwards elimination method was used to create the predictive model. Eight hundred and fifty-one patients were included; 369 (43.4%) had recurrent hospitalizations within the first post-operative year. Patients who were rehospitalized were more likely to be males, to use a walking aid and to live dependently. They had a higher age-adjusted Charlson’s comorbidity index (ACCI) score, a higher perveance of atrial fibrillation, lower hemoglobin, worse renal function, less platelets, and longer time to surgery. Prevalence of in-hospital complications was similar. Six variables were found to independently influence the chance for readmissions: male gender, the use of a walking aid, higher ACCI score, lower hemoglobin, atrial fibrillation, and a longer surgical delay. Only the first four were found to be adequate predictors and were added to the prediction formula. High 1-year readmission rates are seen following discharge in patients with fragility hip fractures. Addressing risk factors might aid to better rehabilitate patients and reduce morbidity.
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Citations
Factors affecting the incidence of deep wound infection after hip fracture surgery
T. Harrison,Paul M. Robinson,A. Cook,Martyn J. Parker +3 more
- 01 Sep 2012
TL;DR: The management of hip fracture patients by a specialist hip fracture surgeon using appropriate fixation could significantly reduce the rate of deep infection and associated morbidity, along with extended hospitalisation and associated costs.
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Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review
Aprisunadi A,Glorino Rumambo Pandin M +1 more
- 08 Apr 2021
TL;DR: Early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events and nurses and health workers could implement early mobilization and motivate patients to be cooperative in undergoing early mobilization.
Disease-dependent variations in the timing and causes of readmissions in Germany: A claims data analysis for six different conditions
Carmen Ruff,Alexander Gerharz,Andreas Groll,Felicitas Stoll,Lucas Wirbka,Walter E. Haefeli,Andreas D. Meid +6 more
TL;DR: In this article, the authors used German health insurance claims (AOK, 2011-2016) of patients ≥ 65 years hospitalized for acute myocardial infarction (AMI), heart failure (HF), a composite of stroke, transient ischemic attack, or atrial fibrillation (S/AF), chronic obstructive pulmonary disease (COPD), type 2 diabetes mellitus, or osteoporosis to identify hospital readmissions within 30 or 90 days.
Association between atrial fibrillation and hip fractures and the implications for hip fracture patients: a systematic review
TL;DR: The aim of this study was to systematically review the literature regarding the association between AF and hip fractures, and the impact of AF on hip fracture prognosis.
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A Retrospective Cohort Study on Chronic Opioid Use After Geriatric Hip Fracture Surgery—Risk Factors, Trends, and Outcomes
TL;DR: In this article , the authors identify the risk factors for prolonged opioid use after surgery in geriatric hip fracture patients and the effects of prolonged use on mortality and readmission rates using the Controlled Substance Utilization Review and Evaluation System (CURES) and identify patients who had filled an opioid prescription within 3 months of hospital admission as opioid exposed and patients without a history of opioid use as opioid naïve (ON).
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