Evidence map›Paper›PMID 40616023›Full record

ArticleBMC musculoskeletal disorders2025

Associations between patient characteristics and delayed acute care discharge post-hip fracture surgery: a cohort study using linked health administrative data in Ontario, Canada.

Chantal Backman, Wenshan Li, Soha Shah, Steve Papp, Stephen G Fung, Asnake Yohannes Dumicho, Meltem Tuna, Franciely Daiana Engel, Colleen Webber, Luke Turcotte and 13 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Optimizing discharge planning: predictors of prolonged hospital length of stay after isolated femoral shaft fracture fixation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  3. 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

23 authors.

Chantal BackmanFaculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada. Chantal.backman@uottawa.ca.
Wenshan LiOttawa Hospital Research Institute, Ottawa, ON, Canada.
Soha ShahBruyère Health Research Institute, Ottawa, ON, Canada.
Steve PappThe Ottawa Hospital, Ottawa, ON, Canada.
Stephen G FungFaculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Asnake Yohannes DumichoOttawa Hospital Research Institute, Ottawa, ON, Canada.
Meltem TunaOttawa Hospital Research Institute, Ottawa, ON, Canada.
Franciely Daiana EngelFaculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Colleen WebberBruyère Health Research Institute, Ottawa, ON, Canada.
Luke TurcotteDepartment of Health Sciences, Brock University, St. Catharines, ON, Canada.
Daniel I McIsaacOttawa Hospital Research Institute, Ottawa, ON, Canada.
Paul E BeauléFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Véronique French-MerkleyBruyère Health Research Institute, Ottawa, ON, Canada.
Stéphane PoitrasFaculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Benoit LafleurThe Ottawa Hospital, Ottawa, ON, Canada.
Jennifer WattICES, Toronto, ON, Canada.
Corita VincentFaculty of Medicine, McMaster University, Hamilton, ON, Canada.
Sharon StrausICES, Toronto, ON, Canada.
Alexandre TranOttawa Hospital Research Institute, Ottawa, ON, Canada.
Kristen PitzulFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Sara J T GuilcherICES, Toronto, ON, Canada.
Arrani SenthinathanLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
Peter TanuseputroICES, Toronto, ON, Canada.

Funding

Innovation Fund of the Alternative Funding Plan for the Academic Health Sciences Centres of Ontario BAM-22-001
6 · The paper itself

Abstract

backgroundOlder patients frequently experience delays in discharge post-hip fracture surgery. Our study aimed to describe the sociodemographic and clinical characteristics of patients who had a surgical repair for a hip fracture and to examine the associations between these characteristics and delayed discharge (> 6 days post-surgery) for frail vs. non frail patients.

methodsWe conducted a retrospective population-based cohort study using routinely collected health administrative data housed at ICES. The study population included all individuals aged 50 to 105 years with a hip fracture who had a surgical repair in Ontario, Canada between January 1, 2015, and December 31, 2021. We used descriptive statistics and multivariable logistic regression models to characterize the association of patient socio-demographics, baseline health, and characteristics of the acute care episode with delayed discharge between non-frail and frail groups.

resultsWe included 74,838 patients, with a mean age of 80.9 (SD 10.7) years, among which 37,234 (49.8%) had a delayed discharge. Some factors increased the odds of delayed discharge in both non-frail and frail groups included prior location in complex continuing care (non-frail OR 1.64, 95% CI 1.14,2.35, P = 0.007; frail OR 2.33, 95% CI 1.70,3.21, P < 0.0001), as well as prior residence in the community with home care (non-frail OR 9.71, 95% CI 8.89,10.6, P < 0.0001; frail OR 13.8, 95% CI 12.0,15.8, P < 0.0001), or without home care (non-frail OR 5.81, 95% CI 5.35,6.32, P < 0.0001; frail OR 4.60, 95% CI 4.14,5.11, P < 0.0001) compared to long-term care as well as residing in a neighbourhood with a higher Racialized and Newcomer Populations Index quintile (non-frail OR 1.45, 95% CI 1.37,1.55, P < 0.0001; frail OR 1.90, 95% CI 1.68,2.16, P < 0.0001). Factors that reduced the odds of delayed discharge in both non-frail and frail groups included individuals living in rural areas (non-frail OR 0.44, 95% CI 0.42,0.47, P < 0.0001; frail OR 0.41, 95% CI 0.36,0.46, P < 0.0001), or having previous fragility fractures (non-frail OR 0.44, 95% CI 0.40,0.49, P < 0.0001; frail OR 0.56, 95% CI 0.51,0.62, P < 0.0001). However, patients in the non-frail group were more likely to be delayed for the presence of comorbidities including mood or mental health conditions (OR 1.22, 95% CI 1.16,1.28, P < 0.0001), stroke (OR 1.46, 95% CI 1.28,1.67, P < 0.0001), chronic obstructive pulmonary disease (OR 1.35, 95% CI 1.24,1.47, P < 0.0001), dementia (OR 1.41, 95% CI 1.34,1.48, P < 0.0001), or diabetes (OR 1.26, 95% CI 1.20,1.32, P < 0.0001). Factors that reduced the odds of delayed discharge in the non-frail group were female sex (OR 0.87, 95% CI 0.83,0.90, P < 0.0001), or having cancer (OR 0.94, 95% CI 0.90,0.98, P = 0.0089).

conclusionDelayed discharge was common after hip fracture surgery in both the non-frail and frail groups. Preoperative residential status, comorbidities and sociodemographic factors are associated with delayed discharge. These data can help to inform strategies to improve timely discharge from acute care and the overall outcomes of the older adult hip fracture population.

Indexed as

Hip FracturesPatient DischargeAgedAged, 80 and overCohort StudiesFemaleFrail ElderlyHumansMaleMiddle AgedOntarioRetrospective StudiesTime FactorsDischargeHip fractureOlder adultsSurgery

Identifiers

PMID40616023
PMCPMC12231680

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