Financial Implications of Hospital Readmission After Hip Fracture

Geriatric Orthopaedic Surgery & Rehabilitation
Stephen L KatesKatia K Noyes

Abstract

Hip fracture is the leading orthopedic discharge diagnosis associated with 30-day readmission in terms of numbers. Because readmission to the hospital following a hip fracture is so common, it adds considerably to the costs on an already overburdened health care system. Patients aged 65 and older admitted to a 261-bed university-affiliated level 3 trauma center between April 30, 2005, and September 30, 2010, with a unilateral, native, nonpathologic low-energy proximal femur fracture were identified from a fracture registry and included for analysis. Readmissions within 30 days of hospital discharge, costs, and outcomes were collected and studied. Of 1081 patients, 129 (11.9%) were readmitted within 30 days. The average hospital length of stay for readmissions was 8.7 ± 18.8 days, which was significantly longer than the initial stay (4.6 ± 2.3 days) (P = .03). Nineteen percent (24 patients ∼19%) died during readmission versus 2.8% during the index admission. These patients accumulated an average hospital charge of US$16 308 ± US$6400 during their initial hospitalization for compared with charges for their readmissions of US$14 191 ± US$25 035 (P = .36). Readmission was usually associated with serious medical or surgical complica...Continue Reading

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Citations

Sep 9, 2016·Foot & Ankle Specialist·Rishin J KadakiaJason T Bariteau
Nov 22, 2016·Journal of Orthopaedic Trauma·Alastair E MoodyPeter L Althausen
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