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European Journal of Trauma and Emergency Surgery

Published in:

01-10-2020 | Original Article

Prediction of readmissions in the first post-operative year following hip fracture surgery

Authors: Tal Frenkel Rutenberg, Ran Rutenberg, Maria Vitenberg, Nir Cohen, Yichayaou Beloosesky, Steven Velkes

Published in: European Journal of Trauma and Emergency Surgery | Issue 5/2020

Abstract

Purpose

To define risk factors for rehospitalization following fragility hip fractures and to create a predictive model.

Methods

A retrospective cohort study of patients 65 years and older, who were treated operatively following fragility hip fractures between 01.2011 and 06.2016. Patients were allocated into two study groups based on the occurrence of recurrent hospitalizations in the year following surgery. Demographic information, comorbidities, and in-hospital characteristics were collected, as was information regarding 1-year readmissions. Multivariate analysis of factors predictive of rehospitalizations was performed, followed by a logistic regression using all predictors with p < 0.05. A stepwise backwards elimination method was used to create the predictive model.

Results

Eight hundred and fifty-one patients were included; 369 (43.4%) had recurrent hospitalizations within the first post-operative year. Patients who were rehospitalized were more likely to be males, to use a walking aid and to live dependently. They had a higher age-adjusted Charlson’s comorbidity index (ACCI) score, a higher perveance of atrial fibrillation, lower hemoglobin, worse renal function, less platelets, and longer time to surgery. Prevalence of in-hospital complications was similar. Six variables were found to independently influence the chance for readmissions: male gender, the use of a walking aid, higher ACCI score, lower hemoglobin, atrial fibrillation, and a longer surgical delay. Only the first four were found to be adequate predictors and were added to the prediction formula.

Conclusion

High 1-year readmission rates are seen following discharge in patients with fragility hip fractures. Addressing risk factors might aid to better rehabilitate patients and reduce morbidity.

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Title: Prediction of readmissions in the first post-operative year following hip fracture surgery
Authors: Tal Frenkel Rutenberg
Ran Rutenberg
Maria Vitenberg
Nir Cohen
Yichayaou Beloosesky
Steven Velkes
Publication date: 01-10-2020
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 5/2020
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-018-0997-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Prediction of readmissions in the first post-operative year following hip fracture surgery

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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