Predictors of Length of Hospital Stay in Elderly Hip Fracture Patients

2013 ◽  
Vol 22 (02) ◽  
pp. 160-163 ◽  
Author(s):  
Christopher A. Brown ◽  
Steven Olson ◽  
Robert Zura
Keyword(s):  
Hip Fracture ◽  
Hospital Stay ◽  
Length Of Hospital Stay

scholarly journals The independent patient factors that affect length of stay following hip fractures

2018 ◽  
Vol 100 (7) ◽  
pp. 556-562 ◽  
Author(s):  
T Richards ◽  
A Glendenning ◽  
D Benson ◽  
S Alexander ◽  
S Thati
Keyword(s):  
Hip Fracture ◽  
Length Of Stay ◽  
Hospital Stay ◽  
Hip Fractures ◽  
Length Of Hospital Stay ◽  
Hospital Length ◽  
Acute Hospital ◽  
Hospital Length Of Stay ◽  
Patient Factors ◽  
Mobility Status

Introduction Management of hip fractures has evolved over recent years to drive better outcomes including length of hospital stay. We aimed to identify and quantify the effect that patient factors influence acute hospital and total health service length of stay. Methods A retrospective observational study based on National Hip Fracture Database data was conducted from 1 January 2014 to 31 December 2015. A multiple regression analysis of 330 patients was carried out to determine independent factors that affect acute hospital and total hospital length of stay. Results American Society of Anesthesiologists (ASA) grade 3 or above, Abbreviated Mental Test Score (AMTS) less than 8 and poor mobility status were independent factors, significantly increasing length of hospital stay in our population. Acute hospital length of stay can be predicted as 8.9 days longer when AMTS less than 8, 4.2 days longer when ASA grade was 3 or above and 20.4 days longer when unable to mobilise unaided (compared with independently mobile individuals). Other factors including total hip replacement compared with hemiarthroplasty did not independently affect length of stay. Conclusions Our analysis in a representative and generalisable population illustrates the importance of identifying these three patient characteristics in hip fracture patients. When recognised and targeted with orthogeriatric support, the length of hospital stay for these patients can be reduced and overall hip fracture care improved. Screening on admission for ASA grade, AMTS and mobility status allows prediction of length of stay and tailoring of care to match needs.

Length of hospital stay for hip fracture falls by a day, audit shows

BMJ ◽  
2012 ◽  
Vol 345 (sep04 1) ◽  
pp. e5940-e5940 ◽  
Author(s):  
S. Mayor
Keyword(s):  
Hip Fracture ◽  
Hospital Stay ◽  
Length Of Hospital Stay

scholarly journals Influence of Orthogeriatrics on the Morbidity and Mortality of Patients with Hip Fracture.

2020 ◽  
Author(s):  
Patricia Balvís ◽  
Diego Matias Dominguez-Prado ◽  
Lucia Ferradas-Garcia ◽  
Marta Perez-Garcia ◽  
Alejandro Garcia-Reza ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hospital Stay ◽  
Clinical Care ◽  
Length Of Hospital Stay ◽  
Cost Benefit ◽  
Perioperative Period ◽  
Morbidity And Mortality ◽  
Economic Saving ◽  
Hospital Stays ◽  
One Year

Abstract BACKGROUND: Osteoporotic hip fractures often occur in fragile, elderly patients and are associated with a significant morbidity and mortality. The objective of this study is to evaluate the morbidity and mortality together with the length of hospital stay in patients with hip fracture in two non-consecutive years and to compare their evolution with the involvement of a specialist in orthogeriatric care.MATERIAL AND METHODS: Retrospective study that reviewed a total of 633 patients with an average age of 85.5 years who suffered a hip fracture and were treated in the same service of Trauma and Orthopaedics in two different years (2012 and 2017). We have analysed mortality, morbidity during their hospital stay, the length of hospital stays and the cost-benefit after the implication of a specialist in orthogeriatric care in 2017.RESULTS: Mortality during their hospital stay decreased significantly from 10% in 2012 to 3.6% in 2017. We have also observed a decrease in mortality at 30 days (10.5% versus 7%) and after one year (28.9% versus 24.9%) between both groups, although these differences were not statistically significant. The length of hospital stays decreased significantly between both periods observed. The average stay decreased by 4.8 days, the surgical delay decreased by 1.1 days and the postoperative hospital stay decreased by 3.4 days. The total annual economic savings estimated due to the involvement of a geriatrician in the follow-up of patients with hip fracture was 1,017.084.94€.CONCLUSIONS: The multidisciplinary approach of patients with hip fracture results in a more effective and more efficient care model. The quality of care and the clinical care optimisation of patients in the perioperative period improve and both hospital stay and mortality during hospital stay decrease significantly. A significant economic saving is also obtained in the treatment of this pathology.

scholarly journals Correction to: Do direct oral anticoagulants (DOACs) cause delayed surgery, longer length of hospital stay, and poorer outcome for hip fracture patients?

2020 ◽  
Vol 11 (4) ◽  
pp. 571-572 ◽  
Author(s):  
Sunniva Leer-Salvesen ◽  
Eva Dybvik ◽  
Anette H. Ranhoff ◽  
Bjørn Liljestrand Husebø ◽  
Ola E. Dahl ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hospital Stay ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Length Of Hospital Stay ◽  
Delayed Surgery

scholarly journals Length of Hospital Stay and Final Discharge Destination of Hip Fracture Patients with Relation to Surgical Methods and Regional Liaison Pathway

2011 ◽  
Vol 60 (3) ◽  
pp. 495-501
Author(s):  
Yasuo Noguchi ◽  
Shunichi Rikimaru ◽  
Shunsuke Hotokezaka ◽  
Takao Mae ◽  
Kosuke Sasaki ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Discharge Destination ◽  
Surgical Methods

scholarly journals Effect of the Dutch Hip Fracture Audit implementation on mortality, length of hospital stay and time until surgery in elderly hip fracture patients; a multi-center cohort study

Injury ◽  
2020 ◽  
Vol 51 (4) ◽  
pp. 1038-1044 ◽  
Author(s):  
Tea A.J. van Voorden ◽  
Dennis den Hartog ◽  
Nicolaj M.R. Soesman ◽  
Tijs S.C. Jakma ◽  
Marco Waleboer ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Surgery In Elderly

scholarly journals Length of hospital stay after hip fracture and short term risk of death after discharge: a total cohort study in Sweden

BMJ ◽  
2015 ◽  
Vol 350 (feb20 1) ◽  
pp. h696-h696 ◽  
Author(s):  
P. Nordstrom ◽  
Y. Gustafson ◽  
K. Michaelsson ◽  
A. Nordstrom
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Short Term ◽  
Risk Of Death ◽  
Total Cohort
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