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 complicatio...Continue Reading
References
Jan 1, 1987·Journal of Chronic Diseases·M E CharlsonC R MacKenzie
Nov 1, 1994·Journal of Clinical Epidemiology·M CharlsonJ Gold
Sep 1, 1993·The Journal of Bone and Joint Surgery. British Volume·M J Parker, C R Palmer
Jan 14, 2003·Archives of Internal Medicine·Ethan A HalmAlbert L Siu
Mar 3, 2005·Aging Clinical and Experimental Research·Maarit HeinonenRaimo Sulkava
Dec 6, 2006·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Russel BurgeAnna Tosteson
Mar 4, 2008·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Toshiya ShigaYoko Ohe
Mar 20, 2008·Age and Ageing·Nicolai B FossHenrik Kehlet
Apr 25, 2009·Transfusion·Nicolai B FossHenrik Kehlet
Jun 30, 2009·Annals of the Royal College of Surgeons of England·James HahnelSanjeev Anand
Nov 26, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·F LeungA W C Kung
Feb 19, 2011·American Journal of Epidemiology·Hude QuanVijaya Sundararajan
Mar 19, 2011·BMC Bioinformatics·Xavier RobinMarkus Müller
Feb 11, 2012·The Journal of Bone and Joint Surgery. British Volume·T HarrisonM J Parker
Apr 25, 2012·The Journal of Bone and Joint Surgery. British Volume·M A KhanN Muthukumar
Jul 27, 2012·Journal of Orthopaedic Trauma·Anna E GarciaManish K Sethi
Dec 17, 2014·Lancet·Jeffrey L CarsonJay Magaziner
Jan 23, 2015·Orthopedics·Frederic H PollockJulton Tomanguillo Chumbe
Jan 30, 2015·Injury·Maria HärstedtArtur Fedorowski
Mar 5, 2015·The Bone & Joint Journal·X L GriffinM L Costa
May 3, 2015·Journal of the American Medical Directors Association·Merete GregersenElse Marie Damsgaard
May 30, 2015·Clinical Orthopaedics and Related Research·Colin D KennedyDouglas P Hanel
Jun 24, 2015·Archives of Trauma Research·Gavin John HeyesAndrew Foster
Sep 4, 2015·Geriatric Orthopaedic Surgery & Rehabilitation·Stephen L KatesKatia K Noyes
Nov 2, 2016·The Cochrane Database of Systematic Reviews·Jeffrey L CarsonPaul C Hebert
Nov 9, 2016·Clinical Interventions in Aging·Jie-Zhou WuMing Cai
May 4, 2017·Injury·Tal Frenkel RutenbergSteven Velkes
May 23, 2017·Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES·Hakan SofuVedat Şahin
Aug 26, 2017·Aging and Disease·Tien-Ching LeeJe-Ken Chang
Aug 31, 2017·BMJ Open·Kristin HauganOlav A Foss