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Open Access 01-08-2012 | Original Paper

Predicting discharge location of hip fracture patients; the new discharge of hip fracture patients score

Authors: Anne Jochem Hendrik Vochteloo, Wim Eduard Tuinebreijer, Andrea Britta Maier, Rob Gerardus Henricus Hubertus Nelissen, Rolf Melchior Bloem, Peter Pilot

Published in: International Orthopaedics | Issue 8/2012

Abstract

Purpose

This paper reports on the development and validity of a new instrument, called the discharge of hip fracture patients score (DHP), that predicts at admission the discharge location in patients living in their own home prior to hip fracture surgery.

Methods

A total of 310 patients aged 50 years and above were included. Risk factors for discharge to an alternative location (DAL) were analysed with a multivariable regression analysis taking the admission variables into account with different weights based on the estimates. The score ranged from 0–100 points. The cut-off point for DAL was calculated using a ROC analysis. Reliability of the DHP was evaluated.

Results

Risk factors for DAL were higher age, female gender, dementia, absence of a partner and a limited level of mobility. The cut-off point was set at 30 points, with a sensitivity of 83.8%, a specificity of 64.7% and positive predictive value of 79.2%.

Conclusion

The DHP is a valid, simple and short instrument to be used at admission to predict discharge location of hip fracture patients.

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Title: Predicting discharge location of hip fracture patients; the new discharge of hip fracture patients score
Authors: Anne Jochem Hendrik Vochteloo
Wim Eduard Tuinebreijer
Andrea Britta Maier
Rob Gerardus Henricus Hubertus Nelissen
Rolf Melchior Bloem
Peter Pilot
Publication date: 01-08-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 8/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-012-1526-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predicting discharge location of hip fracture patients; the new discharge of hip fracture patients score

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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