ArticleJournal of orthopaedics
Rural, urban, and teaching hospital differences in hip fracture mortality.
Article in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Protocol for the ACTIVE trial: a multicentre, open-label, cluster-randomized controlled trial of a quality improvement programme for older adults with hip fracture in resource-limited hospitals in China.Bone & joint open · 2026Article
- Trends in femoral neck fracture-related mortality in the United States: A nationwide retrospective study from 1999 to 2023.Medicine · 2026Article
- Factors Affecting Mortality Following Hip Fracture Surgery: Insights from a Long-Term Study at a Level I Trauma Center-Does Timing Matter?Journal of clinical medicine · 2025Article
- In the shadow of stability lies ruin: Occult vascular injuries in geriatric pelvic trauma.World journal of clinical cases · 2025Article
- Exploring mortality risk factors and specific causes of death within 30 days after hip fracture hospitalization.Scientific reports · 2024Article
- Geographical variation in osteoporosis in Australian women: a longitudinal analysis over 23 years.Archives of osteoporosis · 2024Article
- Racial and Ethnic Disparities in Hip Fracture Surgery: A Systematic Review and Meta-Analysis.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Impact of Dementia in Colorectal Cancer Patients: United States Population-Based Cohort Study.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024Article
- Mortality for Time-Sensitive Conditions at Urban vs Rural Hospitals During the COVID-19 Pandemic.JAMA network open · 2024Article
- Proximal hip fractures in 71,920 elderly patients: incidence, epidemiology, mortality and costs from a retrospective observational study.BMC public health · 2023Observational
- One-year mortality after hip fracture surgery: urban-rural differences in the Colombian Andes.Archives of osteoporosis · 2022Article
- The Future of Rural Orthopaedic Practice: A Resident Survey Study.JB & JS open accessArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHip fractures remain one of the most prevalent and deadly conditions afflicting those 65 years and older. For other health conditions (e.g. myocardial infarction), hospital location is associated with poorer health outcomes. To our knowledge, no study has investigated the relationship between hip fracture morality rate in the United States between urban and rural hospital settings.
methodsA retrospective cohort study was conducted to examine differences in in-hospital mortality between groups treated in rural, urban-teaching, and urban-non-teaching hospitals, as well as public and private hospitals. Mortality rates were also compared for variances between surgical treatment, sex, insurance, patient location, race, and income. Discharge data was collected for 256,240 inpatient stays from the 2012 National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
resultsOdds of mortality were 14.6% greater in rural hospital hip fracture patients compared to Urban/Non-Teaching centers (p < 0.05).
conclusionsResults from this study lend support to necessitate further research investigating prospective barriers to care of those in rural settings. This may point to limitations in resources and trained medical and surgical specialists in rural hospitals and need for continued research to mitigate such findings.
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