Evidence map›Paper›PMID 40664407›Full record

ArticleBMJ open2025

Understanding readmission after hip fracture: a mixed methods study protocol.

Emma Sutton, Usama Rahman, Hannah Reilly, Caroline Miller, Tarunya Vedutla, Teresa Melody, Ranaganayaki Gudivada, Annie E Topping

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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

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

1 citing paper in PubMed.

  1. Observational
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

8 authors.

Emma SuttonDepartment of Nursing and Midwifery School of Health Sciences College of Medicine and Health, University of Birmingham, Birmingham, UK e.sutton.1@bham.ac.uk.ORCID http://orcid.org/0000-0003-4318-9555
Usama RahmanBarts Bone and Joint Health, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0002-7558-689X
Hannah ReillyUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Caroline MillerUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID http://orcid.org/0000-0002-4866-0847
Tarunya VedutlaUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Teresa MelodySchool of Nursing, AHP and Midwifery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Ranaganayaki GudivadaBirmingham Community Healthcare NHS Foundation Trust, Birmingham, UK.
Annie E ToppingDepartment of Nursing and Midwifery School of Health Sciences College of Medicine and Health, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-0111-2341

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAround 75 000 people suffer from hip fractures yearly in the United Kingdom (UK) leading to significant mortality and morbidity. Although mortality has dropped from 8% to 5% between 2013 and 2023 after hip fractures, those undergoing surgery for hip fractures have a 30-day readmission rate which has remained stagnant at around 11% over the same decade in the UK.This study protocol describes a mixed-methods investigation (The ARTHUR Study-avoiding readmission after hip fracture) which aims to understand and offer solutions to prevent avoidable 30-day readmission after hip fracture surgery. The study will focus on two hospitals in acute and community settings in a large urban and ethnically diverse city in the UK. METHODS AND ANALYSIS: We describe two work packages.Work Package One (WP1) involves analysis of 5 year's worth of routinely collected health data provided by PIONEER, a Health Data Research UK data hub in Acute Care for our local population. Work Package Two (WP2) will involve semistructured interviews with patients, carers or family members as well as non-participant observations of hospital processes to understand systems-based issues related to readmissions after hip fracture surgery. Although recruitment may be an issue, our timeline for recruitment reflects this. We also aim to recruit a diverse population, which has often been under-represented in studies into hip fractures and aim to explore relevant interventions which can be widely generalisable. ETHICS AND DISSEMINATION: This protocol was submitted via IRAS: 330074 and obtained UK NHS REC approval via the West Midlands Coventry and Warwickshire Research Ethics Committee (REC 23/WM/0242) on 25 January 2024. The results of this study will be published in relevant scientific journals and presented at orthopaedic, fragility fracture and geriatric specialty conferences and scientific meetings. A lay summary of the findings will be publicly available on the HRA website.

Indexed as

Hip FracturesPatient ReadmissionHumansResearch DesignUnited KingdomFrail ElderlyHipPUBLIC HEALTHSOCIAL MEDICINE

Identifiers

PMID40664407
PMCPMC12265812

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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.