ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2019
Length of hospital stay after hip fracture surgery and 1-year mortality.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Internal Fixation versus Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fractures in the Elderly: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2020Pooled it
- Time to surgery and its impact on length of stay and mortality for neck of femur fractures at a major trauma centre.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- 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
- Clinical efficacy of supine direct-superior approach versus posterolateral approach in hemiarthroplasty for femoral neck fractures in elderly patients.BMC musculoskeletal disorders · 2026Article
- Comparing home-based and institutional rehabilitation for community-dwelling hip fracture patients: a matched cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Effect of Continuous Non-Invasive Hemoglobin Monitoring on Blood Transfusion and Mortality in Hip Surgeries: A Randomized Controlled Study.Journal of clinical practice and research · 2026Article
- The Clinical Frailty Scale is a valid and independent predictor of one-year survival in patients sustaining a hip fracture : scottish Hip Fracture Audit data from 8,092 patients.Bone & joint open · 2025Article
- Early Postoperative Mortality Risk Factors and Five- and Ten-Year Mortality Rates After Hip Arthroplasty for Femoral Neck Fracture.Journal of clinical medicine · 2025Article
- AI-assisted treatment decisions for femoral neck fractures: a simulated assessment of ChatGPT-4's accuracy and comprehensiveness.Langenbeck's archives of surgery · 2025Article
- Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in India.Journal of orthopaedic case reports · 2025Article
- Article
- The association between anion gap and length of stay in patients undergoing hip fracture surgery: data from the MIMIC-IV database.BMC musculoskeletal disorders · 2024Article
- One-year mortality risk in older individuals with femoral intertrochanteric fracture: a tertiary center in China.BMC geriatrics · 2024Article
- Benchmarking institutional geriatric hip fracture management: a prelude to a care quality improvement initiative.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Matters We Metric Vs. Metrics that Matter.Geriatric orthopaedic surgery & rehabilitation · 2024Review
- Discharge transitional care programme for older adults after hip fracture surgery: a quasi-experimental study.Journal of research in nursing : JRN · 2023Article
- A short length of hospital stay is not associated with risk of readmission among hip fracture patients - a Swedish national register-based cohort study.BMC geriatrics · 2023Article
- Preoperative hemoglobin levels and mortality outcomes after hip fracture patients.BMC surgery · 2023Article
- Orthogeriatric Assessment of the Elderly Patient with Fragility Hip Fracture: Preliminary Results of a Prospective Study.Journal of personalized medicine · 2023Article
- Predictors of mortality for patients with hip fracture: a study of the nationwide 1-year records of 24,950 fractures in Romania.Archives of osteoporosis · 2023Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is ongoing effort to discharge patients early after hip fracture surgery to reduce the medical and economic burden. We tried to find whether there is any related side effect, and discovered that early discharge, especially before 10 days after surgery, is associated with higher mortality.
introductionThe aim of this study was to analyze the association between the length of hospital stay after hip fracture and 1-year mortality in older adults aged ≥ 65 years old.
methodsWe conducted a retrospective cohort study using the Korean National Health Insurance Service data to identify patients who were discharged after hip fracture surgery from 2007 to 2009 among 487,460 older adults of age ≥ 65 years. The lengths of stay involving hip fracture surgery were categorized at 10-day interval, and analyzed in relation to 1-year mortality from the date of hospital discharge.
resultsA total of 4213 patients were discharged after hip fracture surgery, of whom 604 (14.3%) died within 1 year of discharge. The average length of stay was 30.7 days (standard deviation 24.5 days). The 1-year mortality was the highest for the length of stay ≤ 10 days group at 21.7%, followed by 15.2%, 14.3%, 13.3%, and 12.4% for > 40, 21-30, 31-40, and 11-20 days groups, respectively (p value 0.05). On Cox proportional hazard regression, the adjusted hazard ratio for length of stay ≤ 10 days group was 1.56 (95% confidence interval 1.14-2.12) against the reference group (11-20 days), while other groups did not show statistical significance. Higher risk of death was associated with increasing age, male gender, Charlson comorbidity index ≥3, subtrochanteric fracture, and discharge to tertiary care hospitals and long-term care hospitals.
conclusionOlder adults discharged within 10 days of hospital admission for hip fracture surgery have higher 1-year mortality after discharge.
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