Observational studyAnnals of the Royal College of Surgeons of England2018
The independent patient factors that affect length of stay following hip fractures.
Observational study in Annals of the Royal College of Surgeons of England, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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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.
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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.
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Who cites it
21 citing papers in PubMed, 44 citations in OpenAlex.
- Impact of limited intramedullary reaming versus unreamed technique in short proximal femoral nail anti-rotation for intertrochanteric fractures: a matched retrospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Optimizing discharge planning: predictors of prolonged hospital length of stay after isolated femoral shaft fracture fixation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Predicting Geriatric Rehabilitation Stays of ≤4 Weeks After Hip Fracture Surgery: Machine Learning Approach Using Physical Activity and Patient Data.JMIR rehabilitation and assistive technologies · 2026Article
- Nonsteroidal anti-inflammatory drug use is associated with improved activities of daily living and rehabilitation in older adult patients following a fracture: a retrospective cohort study.Journal of pharmaceutical health care and sciences · 2025Article
- Length of postoperative stay prediction in elderly patients with hip fractures based on machine learning.Frontiers in medicine · 2025Article
- The impact of mobility limitations on geriatric rehabilitation outcomes: Positive effects of resistance exercise training (RESORT).Journal of cachexia, sarcopenia and muscle · 2024Observational
- The use of minimum common data set in the development of the Greek Fragility Hip Fracture Registry in the Greek health care setting: the first year of its pilot implementation.Archives of osteoporosis · 2024Article
- Rehabilitation of Frail Older Adults after Hip Fracture Surgery: Predictors for the Length of Geriatric Rehabilitation Stay at a Skilled Nursing Home.Journal of clinical medicine · 2024Article
- Factors influencing hip fracture surgery after two days of hospitalization using a national administrative database.Scientific reports · 2024Article
- Comparison of acute outcomes from elective total hip replacements and after fragility femoral neck fractures in nonagenarians.BMC musculoskeletal disorders · 2024Article
- Article
- Predicting Length of Stay After Thoracolumbar Trauma: A Single-Center, Retrospective Analysis.International journal of spine surgery · 2022Article
- Predictors of mortality and length of stay after hip fractures - A multicenter retrospective analysis.Journal of clinical orthopaedics and trauma · 2022Article
- When does hip fracture surgery delay affects the length of hospital stay?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The impact of the frequency, duration and type of physiotherapy on discharge after hip fracture surgery: a secondary analysis of UK national linked audit data.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care Setting.Geriatrics (Basel, Switzerland) · 2022Article
- Predicting prolonged postoperative length of stay risk in patients undergoing lumbar fusion surgery: Development and assessment of a novel predictive nomogram.Frontiers in surgery · 2022Article
- Subcuticular Barbed Suture and Skin Glue Wound Closure Decreases Reoperation and Length of Stay in Geriatric Hip Fractures When Compared With Staples.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- Length of Stay After Joint Arthroplasty is Less Than Predicted Using Two Risk Calculators.The Journal of arthroplasty · 2021Article
- Impact of an orthogeriatrician on length of stay of elderly patient with 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
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction Management of hip fractures has evolved over recent years to drive better outcomes including length of hospital stay. We aimed to identify and quantify the effect that patient factors influence acute hospital and total health service length of stay. Methods A retrospective observational study based on National Hip Fracture Database data was conducted from 1 January 2014 to 31 December 2015. A multiple regression analysis of 330 patients was carried out to determine independent factors that affect acute hospital and total hospital length of stay. Results American Society of Anesthesiologists (ASA) grade 3 or above, Abbreviated Mental Test Score (AMTS) less than 8 and poor mobility status were independent factors, significantly increasing length of hospital stay in our population. Acute hospital length of stay can be predicted as 8.9 days longer when AMTS less than 8, 4.2 days longer when ASA grade was 3 or above and 20.4 days longer when unable to mobilise unaided (compared with independently mobile individuals). Other factors including total hip replacement compared with hemiarthroplasty did not independently affect length of stay. Conclusions Our analysis in a representative and generalisable population illustrates the importance of identifying these three patient characteristics in hip fracture patients. When recognised and targeted with orthogeriatric support, the length of hospital stay for these patients can be reduced and overall hip fracture care improved. Screening on admission for ASA grade, AMTS and mobility status allows prediction of length of stay and tailoring of care to match needs.
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