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01-12-2022 | Care | Research

Association of two geriatric treatment systems on care home admission and mortality in patients with hip fracture

Authors: Kilian Rapp, Clemens Becker, Chris Todd, Martin Rehm, Dietrich Rothenbacher, Claudia Konnopka, Hans-Helmut König, Thomas Friess, Gisela Büchele

Published in: BMC Geriatrics | Issue 1/2022

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Abstract

Background

In Germany, geriatricians deliver acute geriatric care during an acute hospital stay and subacute rehabilitation after transfer to a rehabilitation clinic. However, the proportion of patients who receive acute geriatric care (AGC) or are transferred to subacute rehabilitation (TSR) differs considerably between hospitals. The aim of this study was to analyse the association between the two geriatric treatment systems and care home admission or mortality in patients following hip fracture.

Methods

Health insurance claims data were used to identify the rate of AGC per hospital and the rate of TSR per hospital following hip fracture surgery in patients aged ≥ 80 years. Outcomes were cumulative admission to a care home and cumulative mortality within 6 months after hospital admission.

Results

Data from 23,046 hip fracture patients from 561 hospitals were analysed. The rate of AGC was not associated with care home admission. However, compared to high rates of AGC medium rates or no AGC were associated with increased death rates by 12% or 20%, respectively. Treatment in hospitals with low rates of TSR was associated with a 8% higher risk of care home admission and a 10% increased risk of death compared to treatment in hospitals with high rates of TSR.

Conclusions

Our study suggests potential effects of geriatric treatment: reduction of mortality in hospitals with high rates of AGC or reduction of care home admission and mortality in hospitals with high rates of TSR.
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Metadata
Title
Association of two geriatric treatment systems on care home admission and mortality in patients with hip fracture
Authors
Kilian Rapp
Clemens Becker
Chris Todd
Martin Rehm
Dietrich Rothenbacher
Claudia Konnopka
Hans-Helmut König
Thomas Friess
Gisela Büchele
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Care
Published in
BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-022-03037-z

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