Comorbidity and Quality of In-Hospital Care for Hip Fracture Patients

Hip Fracture
DOI: 10.1016/j.jamda.2022.01.078 Publication Date: 2022-03-02T21:30:01Z
ABSTRACT
We examined whether the comorbidity burden of patients with hip fracture was associated quality in-hospital care reflected by fulfillment process performance measures.Population-based cohort study using prospectively collected data from Danish Multidisciplinary Hip Fracture Registry (DMHFR).Patients aged 65 years or older an incident 2014 to 2018 registered in DMHFR (n = 31,443).Comorbidity measured Charlson Comorbidity Index based on hospital diagnoses. Quality defined as eligible measures, including preoperative optimization, early surgery, mobilization, pain assessment, basic mobility, nutritional risk, need for anti-osteoporotic medication, fall prevention, and a post-discharge rehabilitation program, reflecting guideline-recommended care. The outcomes were (1) all-or-none composite measure all relevant (2) individual measures. Using binary regression, we calculated relative risk (RR) association between level outcomes.The overall proportion who fulfilled 31%. Among no comorbidity, 34% versus 29% among high (Charlson ≥ 3). This corresponds 15% lower chance (RR 0.85, 95% confidence interval 0.81-0.89). Increasing also largest difference seen where had 6% 11% these measures compared without comorbidity.Increasing fracture. Our results highlight tailored clinical initiatives ensure that comorbid benefit positive progress recent years.
SUPPLEMENTAL MATERIAL
Coming soon ....
REFERENCES (39)
CITATIONS (11)
EXTERNAL LINKS
PlumX Metrics
RECOMMENDATIONS
FAIR ASSESSMENT
Coming soon ....
JUPYTER LAB
Coming soon ....