ArticleGeriatric orthopaedic surgery & rehabilitation2015
Financial Implications of Hospital Readmission After Hip Fracture.
Article in Geriatric orthopaedic surgery & rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk factors for hospital re-presentation among older adults following fragility fractures: a systematic review and meta-analysis.BMC medicine · 2016Pooled it
- The Influence of Orthogeriatric Co-Management on Clinical Outcomes After Treatment of Proximal Femoral Fractures-Real World Data of Comparable Cohorts Originating from the Same Geographic Area.Journal of clinical medicine · 2025Article
- Trends and Complications of Hip Fracture Fixation Among Early Career Orthopaedic Surgeons: An Analysis of the American Board of Orthopaedic Surgery Part II Oral Examination Database.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- The Utility of a Comprehensive Hip Fracture Program: Readmission Rates May Not Be a Reasonable Marker of Success.Cureus · 2024Article
- The Effect of Social Deprivation on Hospital Utilization Following Distal Radius Fracture Treatment.Journal of hand surgery global online · 2024Article
- Association between admission albumin levels and 30-day readmission after hip fracture surgery in geriatric patients: a propensity score-matched study.BMC musculoskeletal disorders · 2024Article
- Home discharge location is safest following fracture of the hip.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Incidence, Causes, and Risk Factors of Unplanned Readmissions in Elderly Patients Undergoing Hip Fracture Surgery: An Observational Study.Clinical interventions in aging · 2023Observational
- Derivation and validation of a 90-day unplanned hospital readmission score in older patients discharged form a geriatric ward.European geriatric medicine · 2022Article
- Enhanced recovery after surgery for hip fractures: a systematic review and meta-analysis.Perioperative medicine (London, England) · 2021Review
- Social deprivation predicts adverse health outcomes after hospital admission with hip fracture in England.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Article
- Prior Admissions as a Risk Factor for Readmission in Patients Surgically Treated for Femur Fractures: Implications for a Potential Hip Fracture Bundle.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Immediate versus secondary DIEP flap breast reconstruction: a multicenter outcome study.Archives of gynecology and obstetrics · 2020Article
- Prediction of readmissions in the first post-operative year following hip fracture surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- 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
- Longer Length of Stay Increases 1-year Readmission Rate in Patients Undergoing Hip Fracture Surgery.The archives of bone and joint surgery · 2018Article
- Predictors and Sequelae of Postoperative Delirium in Geriatric Hip Fracture Patients.Geriatric orthopaedic surgery & rehabilitation · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHip fracture is the leading orthopedic discharge diagnosis associated with 30-day readmission in terms of numbers. Because readmission to the hospital following a hip fracture is so common, it adds considerably to the costs on an already overburdened health care system.
methodsPatients aged 65 and older admitted to a 261-bed university-affiliated level 3 trauma center between April 30, 2005, and September 30, 2010, with a unilateral, native, nonpathologic low-energy proximal femur fracture were identified from a fracture registry and included for analysis. Readmissions within 30 days of hospital discharge, costs, and outcomes were collected and studied.
resultsOf 1081 patients, 129 (11.9%) were readmitted within 30 days. The average hospital length of stay for readmissions was 8.7 ± 18.8 days, which was significantly longer than the initial stay (4.6 ± 2.3 days) (P = .03). Nineteen percent (24 patients ∼19%) died during readmission versus 2.8% during the index admission. These patients accumulated an average hospital charge of US$16 308 ± US$6400 during their initial hospitalization for compared with charges for their readmissions of US$14 191 ± US$25 035 (P = .36). DISCUSSION: Readmission was usually associated with serious medical or surgical complications of the original hospitalization.
conclusionsReadmission after hip fracture is costly and harmful. Charges were similar between the original fracture admission and the readmission. Patients were readmitted most frequently for medical diagnoses following their original hospital stay. Some of these readmissions may have been avoidable.
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