Testing the effect of discharge destination on outcomes for people with isolated lower limb fractures

2020 ◽  
Vol 212 (6) ◽  
pp. 255-256
Author(s):  
Ian D Cameron
Keyword(s):  
Lower Limb ◽  
Discharge Destination ◽  
Lower Limb Fractures ◽  
Limb Fractures

scholarly journals Validating a Simple Discharge Planning Tool Following Hospital Admission for an Isolated Lower Limb Fracture

2014 ◽  
Vol 94 (7) ◽  
pp. 1005-1013 ◽  
Author(s):  
Lara A. Kimmel ◽  
Anne E. Holland ◽  
Pam M. Simpson ◽  
Elton R. Edwards ◽  
Belinda J. Gabbe
Keyword(s):  
Lower Limb ◽  
Discharge Planning ◽  
Demographic Data ◽  
Weight Bearing ◽  
Inpatient Rehabilitation ◽  
Discharge Destination ◽  
Hospital System ◽  
Predictive Values ◽  
Lower Limb Fractures ◽  
Limb Fractures

Background Early, accurate prediction of discharge destination from the acute hospital assists individual patients and the wider hospital system. The Trauma Rehabilitation and Prediction Tool (TRaPT), developed using registry data, determines probability of inpatient rehabilitation discharge for patients with isolated lower limb fractures. Objective The aims of this study were: (1) to prospectively validatate the TRaPT, (2) to assess whether its performance could be improved by adding additional demographic data, and (3) to simplify it for use as a bedside tool. Design This was a cohort, measurement-focused study. Methods Patients with isolated lower limb fractures (N=114) who were admitted to a major trauma center in Melbourne, Australia, were included. The participants' TRaPT scores were calculated from admission data. Performance of the TRaPT score alone, and in combination with frailty, weight-bearing status, and home supports, was assessed using measures of discrimination and calibration. A simplified TRaPT was developed by rounding the coefficients of variables in the original model and grouping age into 8 categories. Simplified TRaPT performance measures, including specificity, sensitivity, and positive and negative predictive values, were evaluated. Results Prospective validation of the TRaPT showed excellent discrimination (C-statistic=0.90 [95% confidence interval=0.82, 0.97]), a sensitivity of 80%, and specificity of 94%. All participants able to weight bear were discharged directly home. Simplified TRaPT scores had a sensitivity of 80% and a specificity of 88%. Limitations Generalizability may be limited given the compensation system that exists in Australia, but the methods used will assist in designing a similar tool in any population. Conclusions The TRaPT accurately predicted discharge destination for 80% of patients and may form a useful aid for discharge decision making, with the simplified version facilitating its use as a bedside tool.

scholarly journals Discharge destination and patient‐reported outcomes after inpatient treatment for isolated lower limb fractures

2020 ◽  
Vol 212 (6) ◽  
pp. 263-270 ◽  
Author(s):  
Lara A Kimmel ◽  
Pamela M Simpson ◽  
Anne E Holland ◽  
Elton R Edwards ◽  
Peter A Cameron ◽  
...  
Keyword(s):  
Lower Limb ◽  
Inpatient Treatment ◽  
Patient Reported Outcomes ◽  
Discharge Destination ◽  
Lower Limb Fractures ◽  
Patient Reported ◽  
Limb Fractures

Studying variables affecting the length of stay in patients with lower limb fractures by means of Machine Learning

2021 ◽  
Author(s):  
Ylenia Colella ◽  
Arianna Scala ◽  
Chiara De Lauri ◽  
Francesco Bruno ◽  
Giuseppe Cesarelli ◽  
...  
Keyword(s):  
Machine Learning ◽  
Length Of Stay ◽  
Lower Limb ◽  
Lower Limb Fractures ◽  
Limb Fractures

Technical aspects and complications in the surgical treatment of poliomyelitis-affected lower limb fractures

2018 ◽  
Vol 62 (4) ◽  
pp. 257-266
Author(s):  
J. Mingo-Robinet ◽  
J.A. Alonso ◽  
M. Moreno-Barrero ◽  
L. González-García ◽  
V. Garcia-Virto ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lower Limb ◽  
Technical Aspects ◽  
Lower Limb Fractures ◽  
Limb Fractures

External Fixation Of Lower Limb Fractures In Children

2000 ◽  
Vol 35 (6) ◽  
pp. 851
Author(s):  
Tae Woo Park ◽  
Sung Do Cho ◽  
Yong Sun Cho ◽  
Bum Soo Kim ◽  
Soon Woo Hong ◽  
...  
Keyword(s):  
External Fixation ◽  
Lower Limb ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Limb Fractures

A survey of thrombosis prophylaxis use in patients with lower limb fractures

2004 ◽  
Vol 92 (11) ◽  
pp. 1166-1167 ◽  
Author(s):  
Francesco Dentali ◽  
Davide Imberti ◽  
Walter Ageno
Keyword(s):  
Lower Limb ◽  
Thrombosis Prophylaxis ◽  
Lower Limb Fractures ◽  
Limb Fractures
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