Abstract:
PURPOSE:Readmissions are common and complicate recovery after hip fracture. The objective of this study was to study readmission rates, factors associated with readmissions and effects of orthogeriatric liaison service in a setting where patients are discharged typically on the first postoperative day from the operating tertiary care hospital to lower-level health care units. METHODS:A regionally representative cohort of 763 surgically treated hip fracture patients aged ≥ 50 years was included in this retrospective study, based on hospital discharge records. Primary outcome was a 30-day readmission, while the secondary outcome was a composite outcome, defined as readmission or death with a follow-up of 1 year at maximum. RESULTS:The 30-day readmission rate was 8.3% and 1-year mortality was 22.1%. Short length of stay did not lead to poorer outcomes. Delay from admission to surgery of ≥ 4 days and discharge to primary health care wards were associated with an increased 30-day readmission rate. Age ≥ 90 years, delay to surgery, postoperative length of stay of ≥ 2 days and discharge on a Saturday were associated with higher risk for the composite outcome. Use of orthogeriatric liaison service at the operating hospital was associated with a lower risk of 30-day readmissions (11.8% vs. 6.2%, P = 0.012) whereas in longer follow-up readmissions seemed to cumulate similarly independent of orthogeriatric contribution. Patients living in the largest community in the area were discharged to a secondary care orthogeriatric ward and had a lower risk of 30-day readmissions than other patients (4.8% vs. 10.2%, P = 0.009). CONCLUSION:Use of orthogeriatric liaison service and later care at secondary care orthogeriatric ward seem to be beneficial for hip fracture patients in terms of reducing readmissions and mortality. Of the other care-related factors, short delay from admission to surgery and short total length of stay in the operating hospital was also associated with these outcomes, which, however, may relate to the effects of patient characteristics rather than the care process.
journal_name
Eur Geriatr Medjournal_title
European geriatric medicineauthors
Sarimo S,Pajulammi H,Jämsen Edoi
10.1007/s41999-020-00307-0subject
Has Abstractpub_date
2020-08-01 00:00:00pages
613-622issue
4eissn
1878-7649issn
1878-7657pii
10.1007/s41999-020-00307-0journal_volume
11pub_type
杂志文章abstract:BACKGROUND/OBJECTIVES:Syncope in octogenarians represents an important problem in terms of comorbidity, quality of life and substantial medical costs, resulting from studies and treatments. An implantable loop ecorder (ILR) may improve diagnostic performance. The objective of the study was to evaluate the results of th...
journal_title:European geriatric medicine
pub_type: 杂志文章
doi:10.1007/s41999-018-0128-1
更新日期:2019-02-01 00:00:00
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journal_title:European geriatric medicine
pub_type: 杂志文章,评审
doi:10.1007/s41999-019-00284-z
更新日期:2020-02-01 00:00:00
abstract::[This corrects the article DOI: 10.1007/s41999-018-0038-2.]. ...
journal_title:European geriatric medicine
pub_type: 杂志文章,已发布勘误
doi:10.1007/s41999-018-0054-2
更新日期:2018-01-01 00:00:00
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journal_title:European geriatric medicine
pub_type: 杂志文章
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更新日期:2019-02-01 00:00:00
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journal_title:European geriatric medicine
pub_type: 杂志文章
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更新日期:2020-02-01 00:00:00
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journal_title:European geriatric medicine
pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
abstract:PURPOSE:Multimorbidity and frailty are complex conditions often present in older people. The aim of this study was to identify clusters of chronic diseases in robust and frail individuals and compare sociodemographic and health characteristics between these clusters. METHODS:This cross-sectional study used information...
journal_title:European geriatric medicine
pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
abstract::The nursing home sector has seen a disproportionately high number of deaths as part of the COVID-19 pandemic. This reflects, in part, the frailty and vulnerability of older people living in care homes but has also, in part, been a consequence of the failure to include care homes in the systematic planning of a respons...
journal_title:European geriatric medicine
pub_type: 杂志文章
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更新日期:2020-08-01 00:00:00
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journal_title:European geriatric medicine
pub_type: 杂志文章
doi:10.1007/s41999-018-0109-4
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:Psychosocial resources have been considered to be associated with survival among frail older adults but the evidence is scarce. The aim was to investigate whether psychosocial resources are related to survival among non-robust community-dwelling older people. METHODS:This is a prospective study with 10- and 18...
journal_title:European geriatric medicine
pub_type: 杂志文章
doi:10.1007/s41999-020-00300-7
更新日期:2020-06-01 00:00:00
abstract:Objectives:Antidepressant use has increased in older adults recently. This study examines the trends of antidepressant prescribing by prescription status (continuing vs. new prescriptions). Methods:Data were collected from 2006-2015 National Ambulatory Medical Care Survey (NAMCS), a nationally representative sample of...
journal_title:European geriatric medicine
pub_type: 杂志文章
doi:10.1007/s41999-018-0075-x
更新日期:2018-01-01 00:00:00