ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2016
In-hospital mortality after hip fracture by treatment setting.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Supervised Machine Learning-Based Prediction of In-Hospital Mortality Following Hip Fracture in Older Adults.Diagnostics (Basel, Switzerland) · 2026Article
- Three-year trends in early hip fracture surgery surrounding a national reimbursement policy in Japan.Journal of bone and mineral metabolism · 2025Article
- In-Hospital Mortality Among 40,253 Older Adults with Hip Fracture: Survival Outcomes and Multivariate Analysis in a Chilean Cohort.Journal of clinical medicine · 2025Article
- Naïve Bayes is an interpretable and predictive machine learning algorithm in predicting osteoporotic hip fracture in-hospital mortality compared to other machine learning algorithms.PLOS digital health · 2025Article
- Health Outcomes of Older Adults after a Hospitalization for a Hip Fracture.Canadian geriatrics journal : CGJ · 2024Article
- Time to Hip Fracture Surgery and Mortality.Southern medical journal · 2023Article
- Risk factor analysis for in-hospital death of geriatric hip fracture patients.Saudi medical journal · 2022Article
- Association between cigarette smoking and mortality in patients with hip fracture: A systematic review and meta-analysis.Tobacco induced diseases · 2022Review
- Hip fracture predicts subsequent hip fracture: a retrospective observational study to support a call to early hip fracture prevention efforts in post-fracture patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Observational
- Time to Surgery and Outcome in the Treatment of Proximal Femoral Fractures.Deutsches Arzteblatt international · 2021Article
- Hospital variation in the risk of infection after hip fracture surgery: a population-based cohort study including 29,598 patients from 2012-2017.Acta orthopaedica · 2021Article
- Risk of Hospitalized Falls and Hip Fractures in 22,103 Older Adults Receiving Mental Health Care vs 161,603 Controls: A Large Cohort Study.Journal of the American Medical Directors Association · 2020Article
- Does preoperative dipyridamole-thallium scanning reduce 90-day cardiac complications and 1-year mortality in patients with femoral neck fractures undergoing hemiarthroplasty?Journal of orthopaedic surgery and research · 2020Article
- In-Hospital Postoperative Pneumonia Following Geriatric Intertrochanteric Fracture Surgery: Incidence and Risk Factors.Clinical interventions in aging · 2020Article
- 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
- Strong administrative support needed to improve wait times for hip fracture.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
- Are Case Volume and Facility Complexity Level Associated With Postoperative Complications After Hip Fracture Surgery in the Veterans Affairs Healthcare System?Clinical orthopaedics and related research · 2019Article
- Determinants of mortality after hip fracture surgery in Sweden: a registry-based retrospective cohort study.Scientific reports · 2018Article
- Mortality effects of timing alternatives for hip fracture surgery.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018Article
- Reporting and evaluating wait times for urgent hip fracture surgery in Ontario, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018Article
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12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhere patients with hip fracture undergo treatment may influence their outcome. We compared the risk of in-hospital death after hip fracture by treatment setting in Canada.
methodsWe examined all discharge abstracts from the Canadian Institute for Health Information with diagnosis codes for hip fracture involving patients 65 years and older who were admitted to hospital with a nonpathological first hip fracture between Jan. 1, 2004, and Dec. 31, 2012, in Canada (excluding Quebec). We compared the risk of in-hospital death, overall and after surgery, between teaching hospitals and community hospitals of various bed capacities, accounting for variation in length of stay.
resultsCompared with the number of deaths per 1000 admissions at teaching hospitals, there were an additional 3 (95% confidence interval [CI] 1-6), 14 (95% CI 10-18) and 43 (95% CI 35-51) deaths per 1000 admissions at large, medium and small community hospitals, respectively. For the risk of in-hospital death overall, the adjusted odds ratios (ORs) were 1.05 (95% CI 0.99-1.11), 1.16 (95% CI 1.09-1.24) and 1.44 (95% CI 1.31-1.57) at large, medium and small community hospitals, respectively, compared with teaching hospitals. For the risk of postsurgical death in hospital, the adjusted ORs were 1.06 (95% CI 1.00-1.13), 1.13 (95% CI 1.04-1.23) and 1.18 (95% CI 0.87-1.60) at large, medium and small community hospitals, respectively.
interpretationCompared with teaching hospitals, the risk of in-hospital death among patients with hip fracture was higher at medium and small community hospitals, and the risk of in-hospital death after surgery was higher at medium community hospitals. No differences were found between teaching and large community hospitals. Future research should examine the role of volume, demand and bed occupancy for observed differences.
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