umu.sePublications
Change search
ReferencesLink to record
Permanent link

Direct link
Geriatric Rehabilitation and Discharge Location After Hip Fracture in Relation to the Risks of Death and Readmission
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
Show others and affiliations
2016 (English)In: Journal of the American Medical Directors Association, ISSN 1525-8610, E-ISSN 1538-9375, Vol. 17, no 1, UNSP 91.e1Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To investigate the effects of geriatric rehabilitation on short-term risk of death and readmission after a hip fracture were investigated in a nationwide cohort. In addition, the association of discharge location (nursing home or patient's home) with the short-term risk of death was assessed.

DESIGN, SETTING, AND PARTICIPANTS: The cohort consisted of 89,301 individuals at least 50 years of age, with a first hip fracture registered in the Swedish quality register RIKSHÖFT, the years 2004-2012.

MEASURES: Short-term risk of death and readmission to hospital after discharge was compared at 8 hospitals, where most patients received inpatient care in geriatric wards, and those treated at 71 regular hospitals.

RESULTS: The risks of death within 30 days of admission were 7.1% in patients admitted to geriatric ward hospitals and 7.4% in those treated at regular hospitals (multivariable-adjusted hazard ratio [HR] 0.91, 95% CI 0.85-0.97), whereas the odds of readmission within 30 days of discharge were 8.7% and 9.8%, respectively (multivariable-adjusted odds ratio 0.86, 95% CI 0.81-0.91). The risk of death was influenced by discharge location and inpatient length of stay (LOS). Thus, for patients discharged to short-term nursing homes with a LOS of at most 10 days, each additional day of LOS reduction increased the risk of death within 30 days of discharge by 13% (HR 1.13, 95% CI 1.08-1.18). This association was reduced in patients discharged to permanent nursing homes (HR 1.04, 95% CI 1.02-1.07), and not significant in those discharged to their own home (OR 1.00, 95% CI 0.91-1.10).

CONCLUSION: The risks of death and readmission were lower in patients with hip fracture who received care in hospitals with geriatric wards. The risk of death after discharge increased with shorter LOS, especially in patients discharged to short-term nursing homes.

Place, publisher, year, edition, pages
2016. Vol. 17, no 1, UNSP 91.e1
Keyword [en]
Hip fracture, geriatric rehabilitation, death, readmission
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:umu:diva-111890DOI: 10.1016/j.jamda.2015.07.004ISI: 000366756400019PubMedID: 26297621ScopusID: 2-s2.0-84939838758OAI: oai:DiVA.org:umu-111890DiVA: diva2:873859
Available from: 2015-11-25 Created: 2015-11-25 Last updated: 2016-01-25Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Nordström, PeterNordström, Anna
By organisation
Department of Community Medicine and RehabilitationOccupational and Environmental Medicine
In the same journal
Journal of the American Medical Directors Association
Geriatrics

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 53 hits
ReferencesLink to record
Permanent link

Direct link