ArticleBMC health services research2015
Total hospital stay for hip fracture: measuring the variations due to pre-fracture residence, rehabilitation, complications and comorbidities.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Predicting Geriatric Rehabilitation Stays of ≤4 Weeks After Hip Fracture Surgery: Machine Learning Approach Using Physical Activity and Patient Data.JMIR rehabilitation and assistive technologies · 2026Article
- Safety and complications of antimicrobial coated compared to conventional intramedullary femoral nails in proximal femoral fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Rehabilitation of Frail Older Adults after Hip Fracture Surgery: Predictors for the Length of Geriatric Rehabilitation Stay at a Skilled Nursing Home.Journal of clinical medicine · 2024Article
- Orthogeriatric Care Following Hip Fracture: Improving Post-Operative Outcomes in an Aged Population.Life (Basel, Switzerland) · 2024Article
- Predictors of Extended Length of Stay Following Open Reduction and Internal Fixation for Proximal Humerus Fractures.Journal of hand surgery global online · 2024Article
- Perspectives on Fracture Liaison Service in Austria: clinical and economic considerations.Frontiers in endocrinology · 2024Review
- Risk Factors and Outcomes of Extended Length of Stay in Older Adults with Intertrochanteric Fracture Surgery: A Retrospective Cohort Study of 2132 Patients.Journal of clinical medicine · 2022Article
- Data-driven development of the nationwide hip fracture registry in the Netherlands.Archives of osteoporosis · 2022Article
- Hospital Length of Stay After Hip Fracture and It's Association With 4-Month Mortality-Exploring the Role of Patient Characteristics.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Cost of hospitalisation for hip fracture-findings from the Irish hip fracture database.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care Setting.Geriatrics (Basel, Switzerland) · 2022Article
- Enhanced recovery after surgery for hip fractures: a systematic review and meta-analysis.Perioperative medicine (London, England) · 2021Review
- Patient-specific record linkage between emergency department and hospital admission data for a cohort of people who inject drugs: methodological considerations for frequent presenters.BMC medical research methodology · 2020Article
- Big Data-Driven Determinants of Length of Stay for Patients with Hip Fracture.International journal of environmental research and public health · 2020Article
- A predictive model for increased hospital length of stay following geriatric hip fracture.Journal of clinical orthopaedics and trauma · 2019Article
- Discharge destination following hip fracture in Canada among previously community-dwelling older adults, 2004-2012: database study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019Article
- The effect of indirect admission via hospital transfer on hip fracture patients in Ireland.Irish journal of medical science · 2019Article
- Comparison of hospitalised trends, treatment cost and health outcomes of fall-related hip fracture for people aged ≥ 65 years living in residential aged care and the community.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019Article
- Length of hospital stay after hip fracture surgery and 1-year mortality.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019Article
- In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study.Archives of osteoporosis · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospital treatment for hip fracture is complex, often involving sequential episodes for acute orthopaedics, rehabilitation and care of contingent conditions. Most reports of hospital length of stay (LOS) address only the acute phase of care. This study identifies the frequency and mean duration of the component episodes within total hospital stay, and measures the impacts of patient-level and clinical service variables upon both acute phase and total LOS.
methodsAdministrative datasets for 2552 subjects hospitalised between 1 July 2008 and 30 June 2009 were linked. Associations between LOS, pre-fracture accommodation status, age, sex, fracture type, hospital separation codes, selected comorbidities and complications were examined in regression models for acute phase and total LOS for patients from residential aged care (RAC) and from the community.
resultsMean total LOS was 30.8 days, with 43 per cent attributable to acute fracture management, 37 per cent to rehabilitation and 20 per cent to management of contingent conditions. Community patients had unadjusted total LOS of 35.4 days compared with 18.8 days for RAC patients (p <0.001). The proportion of transfers into rehabilitation (57 per cent vs 17 per cent, p <0.001) was the major determinant for this difference. In multivariate analyses, new RAC placement, discharge to other facilities, and complications of pressure ulcer, urinary or surgical site infections increased LOS by at least four days in one or more phases of hospital stay.
conclusionPre-fracture residence, selection for rehabilitation, discharge destination and specific complications are key determinants for acute phase and total LOS. Calculating the dimensions of specific determinants for LOS may identify potential efficiencies from targeted interventions such as orthogeriatric care models.
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