Evidence map›Paper›PMID 36815585›Full record

ArticleNursing open2023

Are hip fracture patients with high or low body mass index at higher risk of missed care? A cohort study.

Nanna Sofie Astrup Pedersen, Inger Mechlenburg, Pia Kjaer Kristensen

Abstract read
In one paragraph

Article in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Nanna Sofie Astrup PedersenDepartment of Orthopaedics, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-2211-8136
Inger MechlenburgDepartment of Orthopaedics, Aarhus University Hospital, Aarhus, Denmark.
Pia Kjaer KristensenDepartment of Orthopaedics, Aarhus University Hospital, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine whether patients' body mass index is associated with missed hip fracture care consistent with national guideline-recommended care.

designA nationwide, population-based cohort study using prospectively collected data from the Danish Multidisciplinary Hip Fracture Registry.

methodsThe study population consisted of 39,835 patients ≥65 years admitted with a hip fracture and discharged between 1st of January 2012 and 29th of November 2017. National guideline-recommended care consists of preoperative optimization, early surgery, mobilization within 24 h, basic mobility assessment, nutrition screening, post-discharge rehabilitation program, and osteoporotic and fall prophylaxis. We used binomial regression to estimate the relative risk for the fulfilment of the individual measures with 95% confidence interval. Multiple imputation method was applied to handle missing values of body mass index.

resultsThe overall fulfilment of the individual measures ranged from 43% for pre-operative optimization to 95% for receiving a post-discharge rehabilitation program. The obese patients had a lower fulfilment of surgery within 36 h compared to patients with normal weight. No differences in fulfilment of the other measures were found. However, patients with missing data on body mass index had the highest risk of missed care. In conclusion, patients with missing BMI values had the highest risk of missed care. The obese patients had a slightly higher risk of long waiting times for surgery than normal-weighted patients. NO PATIENT OR PUBLIC CONTRIBUTION: This study was done based on population-based data from medical registries and data was analysed by the authors only.

Indexed as

AftercareHip FracturesBody Mass IndexCohort StudiesHumansLength of StayObesityPatient Dischargebody mass indexfrail elderlyhealth care disparitieship fracturesmissed carenursesnursingprocess measuresquality of health care

Identifiers

PMID36815585
PMCPMC10277429

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.