ArticleJournal of the American Medical Directors Association2015
What happens to patients when they fracture their hip during a skilled nursing facility stay?
Article in Journal of the American Medical Directors Association, 2015. 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, 14 citations in OpenAlex.
- Evaluation of bone fragility in cognitively or physically impaired elderly care home patients using radiofrequency echographic multi-spectrometry.Scientific reports · 2025Article
- Application of High-Intensity Functional Resistance Training in a Skilled Nursing Facility: An Implementation Study.Physical therapy · 2020Article
- Non-Pharmacological Interventions towards Preventing the Triad Osteoporosis-Falls Risk-Hip Fracture, in Population Older than 65. Scoping Review.Journal of clinical medicine · 2020Article
- Advancing Innovation in Skilled Nursing Facilities through Academic Collaborations.Physical therapy journal of policy, administration, and leadership · 2018Article
- Assessment of Activity of Daily Living Among Older Adult Patients in Home Healthcare and Skilled Nursing Facilities: An Integrative Review.Home healthcare now · 2017Review
- Article
- Twelve-Minute Daily Yoga Regimen Reverses Osteoporotic Bone Loss.Topics in geriatric rehabilitation · 2016Article
- Rehabilitation Practitioners' Prioritized Care Processes in Hip Fracture Post-Acute Care.Physical & occupational therapy in geriatrics · 2016Article
- Management Team Perceptions of Risks and Strategies for Preventing Falls Among Short-Stay Patients in Nursing Homes.The health care managerArticle
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesTo characterize outcomes of patients experiencing a fall and subsequent hip fracture while in a nursing home receiving skilled nursing facility (SNF) services.
designObservational study.
participantsShort-stay fee-for-service Medicare beneficiaries who experienced their first hip fracture during an SNF stay. MEASUREMENTS: Outcomes measured in the 90 days after the hip fracture hospitalization included community discharge (with a stay in the community <30 days), successful community discharge (in the community ≥30 days), death, and institutionalization.
resultsBetween 1999 and 2007, 27,305 hip fractures occurred among short-stay nursing home patients receiving SNF care. After surgical repair of the hip fracture, 83.9% of these patients were discharged from the hospital back to an SNF, with most (99%) returning to the facility where the hip fracture occurred. In the first 90 days after hospitalization, 24.1% of patients died, 7.3% were discharged to the community but remained fewer than 30 days, 14.0% achieved successful community discharge, and 54.6% were still in a health care institution with almost 46.4% having transitioned to long-term care.
conclusionSNF care aims to maximize the short-stay patient's independence and facilitate a safe community transition. However, experiencing a fall and hip fracture during the SNF stay was a sentinel event that limited the achievement of this goal. There is an urgent need to ensure the integration of fall prevention into the patient's plan of care. Further, falls among SNF patients may serve as indicator of quality, which consumers and payers can use to make informed health care decisions.
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