ArticleAnnals of the Royal College of Surgeons of England2017
Predictors of direct home discharge following fractured neck of femur.
Article in Annals of the Royal College of Surgeons of England, 2017. 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.
- Predictors of walking ability at discharge post proximal femoral fracture in an acute care hospital.Journal of physical therapy science · 2025Article
- Predictive factors for home discharge after femoral fracture surgery: a prospective cohort study.European journal of physical and rehabilitation medicine · 2023Article
- Comparing outcomes of total hip arthroplasty versus hemiarthroplasty in neck of femur fracture patients: an Australian registry study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Using pre-fracture mobility to augment prediction of post-operative outcomes in hip fracture.European geriatric medicine · 2023Article
- Influence of patients' walking ability at one-week post-proximal femur fracture surgery on the choice of discharge destination in Japan.Journal of physical therapy science · 2022Article
- Neck of femur fracture: who gets a total hip replacement? A review of 230 eligible patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Factors for Increased Hospital Stay and Utilization of Post -Acute Care Facilities in Geriatric Orthopaedic Fracture Patients.The archives of bone and joint surgery · 2021Article
- Older patients with proximal femur fractures and SARS-CoV-2 infection - An observational study.SICOT-J · 2021Article
- Prevalence, Predictors, and Mid-Term Outcomes of Non-Home Discharge After Transcatheter Aortic Valve Implantation.Circulation reports · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
INTRODUCTION Direct home discharge (DHD) following hip fracture surgery represents a challenging proposition. The aim of this study was to identify factors influencing the discharge destination (home vs alternative location) for patients admitted from their own home with a fractured neck of femur. METHODS A retrospective cohort study of prospectively collected major trauma centre data was performed, identifying 10,044 consecutive hip fracture admissions between 2000 and 2012. RESULTS Two-thirds of the patients (n=6,742, 67%) were admitted from their own home. Half of these (n=3,509, 52%) returned directly to their own home while two-fifths (n=2,640, 39%) were discharged to an alternative location; 593 (9%) died. The following were identified as independent variables associated with a higher likelihood of DHD: younger patients, female sex, an abbreviated mental test score of 10, absence of certain co-morbidities, cohabiting, walking independently outdoors, no use of walking aids, no assistance required with basic activities of daily living and intracapsular fracture. CONCLUSIONS Identifying those at risk of being discharged to an alternative location following admission from home on the basis of identified preoperative indices could assist in streamlining the postoperative care phase. Pre-emptive action may help increase the numbers of patients discharged directly home and reduce the number requiring additional rehabilitation prior to discharge home with its associated socioeconomic effect.
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