Factors for Increased Hospital Stay and Utilization of Post -Acute Care Facilities in Geriatric Orthopaedic Fracture Patients
(ندگان)پدیدآور
Van Der Vliet, Quirine M. J.Weaver, Michael J.Heil, KolomanMcTague, Michael F.Heng, Marilyn
نوع مدرک
TextRESEARCH PAPER
زبان مدرک
Englishچکیده
Background: This study aims to determine the extent of utilization of health care resources in the geriatric fracturepopulation and to identify factors associated with burden on resources.Methods: This is a retrospective study of 1074 patients ≥65 years admitted to an orthopaedic service for a long bonefracture between July 2014 - June 2015. Outcomes were hospital length of stay (LOS), discharge disposition, andpost-acute care facility LOS. Secondarily, readmission rates and mortality were assessed. Multivariable regression wasperformed to identify factors associated with utilization.Results: Prior to injury, 96% of patients lived at home and 50% ambulated independently. Median hospital LOS was5 days (IQR 3 – 7). 878 patients were discharged to a rehabilitation facility, with 45% being discharged 20 days in a rehabilitation facility. Dischargehome was not found to be associated with an increase in 1-year mortality after adjusting for age, CCI, sex, fracturelocation, and surgery (P=0.727). Shorter LOS in rehabilitation facilities (
کلید واژگان
bundled paymentsFracture
Geriatric
healthcare utilization
Length of stay
post-acute care
Rehabilitation
شماره نشریه
1تاریخ نشر
2021-01-011399-10-12
ناشر
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Associationسازمان پدید آورنده
1 Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA 2 University Medical Center Utrecht, Utrecht, Netherlands1 Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA 2Brigham and Women's Hospital, Department of Orthopedic Surgery, Boston, MA, USA
1 Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA 2Paracelsus Medical University, Salzburg, Austria
1 Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA 2 Brigham and Women's Hospital, Department of Orthopedic Surgery, Boston, MA, USA
1 Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA 2 Massachusetts General Hospital, Department of Orthopaedic Surgery, Boston, MA, USA
شاپا
2345-46442345-461X