ArticleBMJ open2014
Variation in access to community rehabilitation services and length of stay in hospital following a hip fracture: a cross-sectional study.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- A community-based rehabilitation package following hip fracture: FEMuR III a multi-centre RCT, economic and process evaluation.Health technology assessment (Winchester, England) · 2025Trial
- Assessment of activities and participation of people by rehabilitation-focused clinical registries: a systematic scoping review.European journal of physical and rehabilitation medicine · 2023Article
- Physiotherapists' perspectives of barriers and facilitators to effective community provision after hip fracture: a qualitative study in England.Age and ageing · 2023Article
- The 30-day survival and recovery after hip fracture by timing of mobilization and dementia : a UK database study.The bone & joint journal · 2021Article
- How does deprivation influence secondary care costs after hip fracture?Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Effect of Weekly Antibiotic Round on Antibiotic Use in the Neonatal Intensive Care Unit as Antibiotic Stewardship Strategy.Frontiers in pediatrics · 2020Article
- Conceptual Framework for an Episode of Rehabilitative Care After Surgical Repair of Hip Fracture.Physical therapy · 2019Article
- The independent patient factors that affect length of stay following hip fractures.Annals of the Royal College of Surgeons of England · 2018Observational
- Post-acute pathways among hip fracture patients: a system-level analysis.BMC health services research · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo assess variation in access to and use of community rehabilitation services for patients with a hip fracture, and whether this affects length of stay in hospital.
designCross-sectional study using administrative patient-level data from Hospital Episode Statistics (HES) and organisational survey data.
settingA regional health economy in South West England served by four acute National Health Service (NHS) hospital trusts and six former Primary Care Trusts (PCTs). POPULATION: 1230 hip fracture patients treated in an acute hospital between 1 April 2011 and 29 February 2012. MAIN OUTCOMES: Information about access to community rehabilitation services for each acute hospital and PCT, reported by organisational survey. Rates of patients transferred from acute hospital to community rehabilitation hospitals (CRH) across eight groups with varying access; determined by acute hospital and PCT. Median lengths of stay in the acute hospital, and in the acute hospital plus CRH combined. Associations between the rate of transfer to a CRH and median lengths of stay assessed using Spearman's rank correlation coefficient (rs).
resultsAccess to community rehabilitation services varied, including the number of CRH inpatient beds, formal access criteria and waiting times. In one PCT, no home-based rehabilitation service was available. The percentage of patients transferred to a CRH ranged from 2.1% to 54.7%. A higher transfer rate was associated with a shorter median length of stay in the acute hospital (rs=-0.8; p=0.01), but a longer median combined length of stay in the acute hospital and CRH (rs=+0.7; p=0.04).
conclusionsWithin one geographical area, there was wide variation in availability and use of community rehabilitation services for patients discharged from an acute hospital following a hip fracture. Reliance on transfers to community rehabilitation hospitals was associated with a longer length of stay in the NHS.
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