Observational studyJournal of the American Geriatrics Society2015
Volume Matters: Returning Home After Hip Fracture.
Observational study in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed.
- Shaping older adults' care policy: a scoping review of key determinants in post-acute and community reintegration transitions.BMC health services research · 2025Article
- Lost in the Shuffle: Low Health Literacy in Geriatric Fracture Patients and Families Regarding Post-Acute Care-A Prospective Study.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- The health effects of nursing home specialization in post-acute care.Journal of health economics · 2023Article
- Successful Community Discharge Among Older Adults With Traumatic Brain Injury Admitted to Inpatient Rehabilitation Facilities.Archives of rehabilitation research and clinical translation · 2022Article
- The impact of inpatient bed capacity on length of stay.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Depicting developing trend and core knowledge of hip fracture research: a bibliometric and visualised analysis.Journal of orthopaedic surgery and research · 2021Article
- Association between High Proportions of Seriously Mentally Ill Nursing Home Residents and the Quality of Resident Care.Journal of the American Geriatrics Society · 2019Article
- Investigating and Remediating Selection Bias in Geriatrics Research: The Selection Bias Toolkit.Journal of the American Geriatrics Society · 2019Review
- Quality of Post-Acute Care in Skilled Nursing Facilities That Disproportionately Serve Black and Hispanic Patients.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019Article
- Does Systemic Lupus Erythematosus Care Provided in a Lupus Clinic Result in Higher Quality of Care Than That Provided in a General Rheumatology Clinic?Arthritis care & research · 2018Article
- Developing quality indicators for in-patient post-acute care.BMC geriatrics · 2018Article
- Effect of Obesity on Postacute Outcomes of Skilled Nursing Facility Residents with Hip Fracture.Journal of the American Geriatrics Society · 2018Article
- Article
- Minimum Data Set Changes in Health, End-Stage Disease and Symptoms and Signs Scale: A Revised Measure to Predict Mortality in Nursing Home Residents.Journal of the American Geriatrics Society · 2018Article
- Delivering high quality hip fracture rehabilitation: the perspective of occupational and physical therapy practitioners.Disability and rehabilitation · 2018Article
- Facility and State Variation in Hip Fracture in U.S. Nursing Home Residents.Journal of the American Geriatrics Society · 2018Article
- Clinicians' Perspectives of Patient Engagement in Post-Acute Care: A Social Ecological Approach.Physical & occupational therapy in geriatrics · 2018Article
- Nutritional variables predict chances of returning home and activities of daily living in post-acute geriatric care.Clinical interventions in aging · 2018Observational
- Facility-Level Factors and Outcomes After Skilled Nursing Facility Admission for Trauma and Surgical Patients.Journal of the American Medical Directors Association · 2018Article
- Factors affecting residents transition from long term care facilities to the community: a scoping review.BMC health services research · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectivesTo examine the effect of the relationship between volume (number of hip fracture admissions during the 12 months before participant's fracture) and other facility characteristics on outcomes.
designProspective observational study.
settingU.S. skilled nursing facilities (SNFs) admitting individuals discharged from the hospital after treatment for hip fracture between 2000 and 2007 (N = 15,439).
participantsCommunity-dwelling fee-for-service Medi-care beneficiaries aged 75 and older admitted to U.S. hospitals for their first hip fracture and discharged to a SNF for postacute care from 2000 to 2007 (N = 512,967). MEASUREMENTS: Successful discharge from SNF to community, defined as returning to the community within 30 days of hospital discharge to the SNF and remaining in the community without being institutionalized for at least 30 days, was examined using Medicare administrative data, propensity score matching, and instrumental variables.
resultsThe overall rate of successful discharge to the community was 31%. Of the 15,439 facilities, the facility interquartile range varied from 0% (25th percentile) to 42% (75th percentile). An important determinant of variation in discharge rate was SNF volume of hip fracture admissions. Unadjusted successful discharge from SNF to community was 43.7% in high-volume facilities (>24 admissions/year), versus 18.8% in low-volume facilities (1-6 admissions/year). This facility volume effect persisted after adjusting for participant and facility characteristics associated with outcomes (e.g., adjusted odds ratio = 2.06, 95% confidence interval = 1.91-2.21 for volume of 25 vs 3 admissions per year).
conclusionIn community-dwelling persons with their first hip fracture, successful return to the community varies substantially according to SNF provider volume and staffing characteristics.
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Registered trials
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