ArticleThe archives of bone and joint surgery2021
Factors for Increased Hospital Stay and Utilization of Post -Acute Care Facilities in Geriatric Orthopaedic Fracture Patients.
Article in The archives of bone and joint surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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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Who cites it
2 citing papers in PubMed.
- Article
- Discharge Disposition After Limb Amputation in a Publicly Funded Health Care System.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aims to determine the extent of utilization of health care resources in the geriatric fracture population and to identify factors associated with burden on resources.
methodsThis is a retrospective study of 1074 patients ≥65 years admitted to an orthopaedic service for a long bone fracture between July 2014 - June 2015. Outcomes were hospital length of stay (LOS), discharge disposition, and post-acute care facility LOS. Secondarily, readmission rates and mortality were assessed. Multivariable regression was performed to identify factors associated with utilization.
resultsPrior to injury, 96% of patients lived at home and 50% ambulated independently. Median hospital LOS was 5 days (IQR 3 - 7). 878 patients were discharged to a rehabilitation facility, with 45% being discharged <20 days. Ten percent of patients (n = 108) were re-admitted <90 days of their discharge. 924 patients were still alive one year after the injury. Higher Charlson Comorbidity Index (CCI) (
conclusionElderly fracture patients utilize a significant amount of post-acute care resources and age, CCI, surgery, fracture location, pre-injury ambulatory status, and pre-injury living status were found to be associated with the use of these resources.
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