PMID: 8606556Apr 1, 1996Paper

Short-term mortality after repair of hip fracture. Do Manitoba elderly do worse?

Medical Care
L L RoosS Roberecki

Abstract

This article uses administrative data from Manitoba and New England to address the reasons underlying Manitoba's relatively high mortality in the 30 days after hip fracture repair. Both the Manitoba and New England data sets are population based, containing information on individuals 65 years of age or older in Manitoba (1979-1992; n = 10,007) and New England (1984-1985); n = 16,206). Various logistic regression models were estimated on pooled and separate data from Manitoba and New England; the models all showed similar predictive accuracy, having C statistics in the .71 to .74 range. Manitoba postsurgical 30-day mortality rates were greater than the 1984 to 1985 New England rate for each of the 14 years considered. In particular, New England residents with very short waits before hip fracture repair (0 or 1 day) had mortality rates both markedly lower than expected and significantly less than those of Manitobians with such short waits. Attention to the Manitoba hospitals with very poor 30-day survival and to the process surrounding selection of patients for early versus late surgery in Manitoba are clearly in order. The extent to which longer-term survival reflects 30-day survival also is discussed. Our findings highlight the...Continue Reading

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Citations

Dec 8, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·William D LeslieGregory S Finlayson
Oct 13, 2006·The Journal of Clinical Endocrinology and Metabolism·William D LeslieUNKNOWN Manitoba Bone Density Program
Jul 18, 2008·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S MorinW D Leslie
Dec 17, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S MorinW D Leslie
Dec 8, 2016·Journal of Palliative Medicine·Hua MinRaya Elfadel Kheirbek
Jan 7, 1998·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·N P RoosD Friesen
Sep 14, 2016·Journal of Palliative Medicine·Farrokh AlemiAllison Williams
Aug 5, 2005·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Colleen MetgeMarina Yogendran
Mar 5, 2010·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Lora M GiangregorioUNKNOWN Manitoba Bone Density Program
Apr 9, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·W D LeslieL M Lix
Oct 20, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S MorinW D Leslie
May 8, 2009·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·B AbrahamsenC Cooper
Dec 3, 1996·Healthcare Management Forum·L L RoosM M Cohen
Sep 26, 2021·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·W D LeslieS N Morin

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