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    •   صفحهٔ اصلی
    • نشریات انگلیسی
    • The Archives of Bone and Joint Surgery
    • Volume 9, Issue 1
    • مشاهده مورد
    •   صفحهٔ اصلی
    • نشریات انگلیسی
    • The Archives of Bone and Joint Surgery
    • Volume 9, Issue 1
    • مشاهده مورد
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    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
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    نوع مدرک
    Text
    RESEARCH PAPER
    زبان مدرک
    English
    نمایش کامل رکورد
    چکیده
    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 payments
    Fracture
    Geriatric
    healthcare utilization
    Length of stay
    post-acute care
    Rehabilitation

    شماره نشریه
    1
    تاریخ نشر
    2021-01-01
    1399-10-12
    ناشر
    Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
    سازمان پدید آورنده
    1 Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA 2 University Medical Center Utrecht, Utrecht, Netherlands
    1 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
    2345-4644
    2345-461X
    URI
    https://dx.doi.org/10.22038/abjs.2020.46476.2276
    https://abjs.mums.ac.ir/article_16546.html
    https://iranjournals.nlai.ir/handle/123456789/709553

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