Process-related predictors of readmissions and mortality following hip fracture surgery: a population-based analysis

• DOI: 10.1007/s41999-020-00307-0
• Publication Date: 2020-03-26T16:04:36Z
• Authors: Simo Sarimo; Hanna Pajulammi; Esa Jämsen
• Keywords: Hip Fracture; Hospital Readmission

Abstract Purpose Readmissions are common and complicate recovery after hip fracture. The objective of this study was to readmission rates, factors associated with readmissions effects orthogeriatric liaison service in a setting where patients discharged typically on the first postoperative day from operating tertiary care hospital lower-level health units. Methods A regionally representative cohort 763 surgically treated fracture aged ≥ 50 years included retrospective study, based discharge records. Primary outcome 30-day readmission, while secondary composite outcome, defined as or death follow-up 1 year at maximum. Results rate 8.3% 1-year mortality 22.1%. Short length stay did not lead poorer outcomes. Delay admission surgery 4 days primary wards were an increased rate. Age 90 years, delay surgery, 2 Saturday higher risk for outcome. Use lower (11.8% vs. 6.2%, P = 0.012) whereas longer seemed cumulate similarly independent contribution. Patients living largest community area ward had than other (4.8% 10.2%, 0.009). Conclusion later seem be beneficial terms reducing mortality. Of care-related factors, short total also these outcomes, which, however, may relate patient characteristics rather process.