Evidence map›Paper›PMID 39822114›Full record

ArticleGeriatrics & gerontology international2025

Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data.

Huiting Wang, Miyae Yamakawa, Shunji Suto, Yasushi Takeya, Asuka Oyama, Hiroshi Toki, Ryohei Yamamoto

Abstract read
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Article in Geriatrics & gerontology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Huiting WangDivision of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.ORCID https://orcid.org/0000-0001-6117-060X
Miyae YamakawaDivision of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.ORCID https://orcid.org/0000-0002-2399-8366
Shunji SutoDepartment of Community Medicine, Nara Medical University, Kashihara, Japan.ORCID https://orcid.org/0000-0002-2985-8700
Yasushi TakeyaDivision of Health Sciences, Graduate School of Medicine, Osaka University, Osaka, Japan.ORCID https://orcid.org/0000-0001-9901-2666
Asuka OyamaHealth and Counselling Center, Osaka University, Osaka, Japan.ORCID https://orcid.org/0000-0002-6584-5958
Hiroshi TokiHealth and Counselling Center, Osaka University, Osaka, Japan.ORCID https://orcid.org/0000-0003-1332-8286
Ryohei YamamotoHealth and Counselling Center, Osaka University, Osaka, Japan.ORCID https://orcid.org/0000-0003-2610-9824

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to investigate the relationship between preoperative patient factors and postoperative half-year health care utilization reflecting recovery, common complications, comorbidities, and significant health concerns, identifying strong risk and protective factors.

methodsThis retrospective cohort study utilized linear, quantile, and ordinal regressions to analyze Osaka National Health Insurance data from 26 606 elderly patients who underwent hip fracture surgery between 2012 and 2018.

resultsThe key factors associated with multiple postoperative care utilizations (P < 0.001) included: 1 Compared with men, women were strongly negatively correlated with postoperative length of stay (LOS) at q90, diabetes prescriptions or drip injections, while showing strong positive associations with postoperative antihypertensive, antiosteoporosis, and antidementia prescriptions. 2 Age has a strong negative correlation with antiosteoporosis or diabetes prescriptions but strongly positive associations with indwelling urinary catheters or drip injections. 3 The preoperative 1-year LOS correlated positively with the postoperative LOS or indwelling urinary catheters, and the strongest associations were observed at q25 with the postoperative LOS. It was significantly and negatively associated with antihypertensive or antidementia prescriptions. 4 Many preoperative care utilizations were positive factors, and some were strong factors at q25 of the LOS.

conclusionsNuanced relationships between the female sex; preoperative LOS; antidementia, antiosteoporosis, antihypertensive and constipation prescriptions; indwelling catheters, and postoperative LOS were elucidated. These are key risks during shorter postoperative LOS, while male subgroups are at a higher risk during longer LOS duration. Patients with extended preoperative diabetes prescriptions or drip injections are at high risk of multiple postoperative care. Geriatr Gerontol Int 2025; 25: 190-205.

Indexed as

Health StatusHip FracturesPatient Acceptance of Health CarePostoperative CareAgedAged, 80 and overFemaleHumansJapanLength of StayMaleNational Health ProgramsPostoperative ComplicationsRetrospective StudiesRisk Factorsagedepidemiologic factorship fracturespatient outcome assessmentsurgery

Identifiers

PMID39822114
PMCPMC11788247

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