Evidence map›Paper›PMID 30937483›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2019

Discharge destination following hip fracture in Canada among previously community-dwelling older adults, 2004-2012: database study.

L Beaupre, B Sobolev, P Guy, J D Kim, L Kuramoto, K J Sheehan, J M Sutherland, E Harvey, S N Morin, Canadian Collaborative Study of Hip Fractures

Abstract read
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In one paragraph

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Rehabilitation after musculoskeletal injury: an overview of systems in the United States and Canada.OTA international : the open access journal of orthopaedic trauma · 2024
    Review
  2. Article
  3. Hospital episode-of-care costs for hip fractures: an activity-based costing analysis.OTA international : the open access journal of orthopaedic trauma · 2023
    Article
  4. Prognosis and institutionalization of frail community-dwelling older patients following a proximal femoral fracture: a multicenter retrospective 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 · 2022
    Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

L BeaupreUniversity of Alberta, 2-50 Corbett Hall, Edmonton, AB, T6G 2G4, Canada. lauren.beaupre@ualberta.ca.
B SobolevSchool of Population and Public Health, University of British Columbia, Vancouver, Canada.
P GuyCentre for Hip Health and Mobility, University of British Columbia, Vancouver, Canada.
J D KimSchool of Population and Public Health, University of British Columbia, Vancouver, Canada.
L KuramotoCentre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, Vancouver, Canada.
K J SheehanAcademic Department of Physiotherapy, Division of Health and Social Care Research, King's College London, London, UK.
J M SutherlandCentre for Hip Health and Mobility, University of British Columbia, Vancouver, Canada.
E HarveyMcGill University, Montreal, Canada.
S N MorinMcGill University, Montreal, Canada.
Canadian Collaborative Study of Hip Fractures

Funding

Canadian Institutes of Health Research MOP 133629
6 · The paper itself

Abstract

Little is known about post-acute care following hip fracture surgery. We investigated discharge destinations from surgical hospitals for nine Canadian provinces. We identified significant heterogeneity in discharge patterns across provinces suggesting different post-acute recovery pathways. Further work is required to determine the impact on patient outcomes and health system costs.

introductionTo examine discharge destinations by provinces in Canada, adjusting for patient, injury, and care characteristics.

methodsWe analyzed population-based hospital discharge abstracts from a national administrative database for community-dwelling patients who underwent hip fracture surgery between 2004 and 2012 in Canada. Discharge destination was categorized as rehabilitation, home, acute care, and continuing care. Multinomial logistic regression modeling compared proportions of discharge to rehabilitation, acute care, and continuing care versus home between each province and Ontario. Adjusted risk differences and risk ratios were estimated.

resultsOf 111,952 previously community-dwelling patients aged 65 years or older, 22.5% were discharged to rehabilitation, 31.6% to home, 27.0% to acute care, and 18.2% to continuing care, with significant variation across provinces (p < 0.001). The proportion of discharge to rehabilitation ranged from 2.4% in British Columbia to 41.0% in Ontario while the proportion discharged home ranged from 20.3% in Prince Edward Island to 52.2% in British Columbia. The proportion of discharge to acute care ranged from 15.2% in Ontario to 58.8% in Saskatchewan while the proportion discharged to continuing care ranged from 9.3% in Manitoba and Prince Edward Island to 22.9% in New Brunswick. Adjusting for hospital type changed the direction of the provincial effect on discharge to continuing care in two provinces, but statistical significance remained consistent with the primary analysis.

conclusionsDischarge destination from the surgical hospital after hip fracture is highly variable across nine Canadian provinces. Further work is required to determine the impact of this heterogeneity on patient outcomes and health system costs.

Indexed as

AgedAged, 80 and overCanadaContinuity of Patient CareDatabases, FactualFemaleFracture FixationHealth Services ResearchHip FracturesHumansIndependent LivingMalePatient DischargePatient TransferPostoperative CareResidence CharacteristicsDischarge destinationHealth services researchHip fractureVariation

Identifiers

PMID30937483

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.