ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2022
Hospital Length of Stay After Hip Fracture and It's Association With 4-Month Mortality-Exploring the Role of Patient Characteristics.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Prediction Model for Discharge Destination in Older Patients After Hip Fracture Surgery Using Early Predictors.Geriatrics (Basel, Switzerland) · 2026Article
- 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
- The preoperative BUN-to-albumin ratio predicts early mortality after geriatric intertrochanteric fracture surgery: a retrospective cohort study.Journal of orthopaedic surgery and research · 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
- Article
- Early Postoperative Mortality Risk Factors and Five- and Ten-Year Mortality Rates After Hip Arthroplasty for Femoral Neck Fracture.Journal of clinical medicine · 2025Article
- A Retrospective Analysis of Length of Stay in Postoperative Fracture Repair Patients Receiving Patient-Controlled Analgesia Versus Nurse-Administered Analgesia.Anesthesiology and pain medicine · 2025Article
- Associations between patient characteristics and delayed acute care discharge post-hip fracture surgery: a cohort study using linked health administrative data in Ontario, Canada.BMC musculoskeletal disorders · 2025Article
- Translation, validity, and reliability of the Thai de Morton Mobility Index in patients following hip surgery.International journal of nursing sciences · 2025Article
- The effect of acupuncture on reducing postoperative complications in fracture patients: A retrospective analysis using the TriNetX database.Bone reports · 2025Article
- Frailty as a determinant of mortality, surgical timing and hospital stay in proximal femur fractures: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Fragility hip fractures among Nigerian older adults: a retrospective study of epidemiology, mobility and mortality outcomes at 3 and 12 months post-hospital discharge.Archives of osteoporosis · 2025Article
- Article
- Hip Fracture Patterns, Hospital Course, and Mortality Differ Between Males and Females.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Article
- 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
- Construction and validation of a risk prediction model for delayed discharge in elderly patients with hip fracture.BMC musculoskeletal disorders · 2023Article
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4 authors.
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Abstract
backgroundHospital length of stay (LoS) is believed to be associated with higher mortality in hip fracture patients; however, previous research has shown conflicting results. We aimed to explore the association between LoS and 4-month mortality in different groups of hip fracture patients.
methodsThe study population in this Swedish register-based cohort study was 47 811 patients 65 years or older with a first hip fracture during 2012-2016, followed up for 4 months after discharge. LoS was categorized by cubic splines, and the association between LoS and mortality was analyzed with Cox regression models, adjusted for sociodemographic- and health-related factors.
resultsMean LoS was 11.2 ± 5.9 days and 12.3% of the patients died within 4 months. Both a shorter and a longer LoS, compared to the reference 9-12 days, were associated with higher mortality (hazard ratio [95% confidence interval]): 2-4 days 2.15 (1.98-2.34), 5-8 days 1.58 (1.47-1.69), and 24+ days 1.29 (1.13-1.46). However, in fully adjusted models, only the association with a long LoS remained: 13-23 days 1.08 (1.00-1.17) and 24+ days 1.42 (1.25-1.61). Stratifying by living arrangement revealed that the increased risk for a short LoS was driven by the group living in care homes. For patients living at home, a short LoS was associated with lower risk: 0.65 (0.47-0.91) and 0.85 (0.74-0.98) for 2-4 and 5-8 days, respectively.
conclusionsA long LoS after a hip fracture is associated with increased 4-month mortality risk even after considering patient characteristics. The association between mortality and a short LoS, however, is explained by individuals coming from care homes (with higher mortality risk), being discharged early.
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