Hospital Readmission Rate and Risk Factors in Elderly Patients after a Hip Fracture

Authors

  • Bruno Rafael Boietti Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina
  • Diego Hernán Giunta Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina
  • Pedro Vicente Uad Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina
  • Marcelina Carretero Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina
  • Javier Alberto Pollán Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina
  • Guido Sebastian Carabelli Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Argenti
  • Jorge Daniel Barla Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Argentina
  • Laura Cristina Acion Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina
  • Ada Charosky Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina.
  • Norberto Di Mascio Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina.
  • Gabriel Darío Waisman Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina
  • Luis Alberto Cámera Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina.
  • Cristina María Elizondo Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina.
  • Javier Alberto Benchimol Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, CABA, Argentina.

Keywords:

Hip Fractures, Elderly Person, Patient Readmission

Abstract

INTRODUCTION: Elderly patients with hip fracture are at high risk for complications and in-hospital mortality. Short hospital stay and early discharge with still active clinical problems may lead to readmissions. OBJECTIVES: to know the rate of readmissions, the reasons and the predictive variables in patients who had hip fractures. METHODS: A retrospective cohort study was performed, with all patients included in the institutional registry of elderly patients with hip fracture between July 2014 and July 2017. Readmission rates and their CI95% were described. A proportional risk Cox model was used to describe risk factors and time-toreadmission. RESULTS: A total of 858 patients were included with a median hospital stay of 6 days (interquartile range [IQR] 5-9), 86% (737) of female patients and a median age of 86 years (IQR 81-89). Readmission rates were 10% (CI95%: 8.3-12.5) at 30 days and 39% (CI95%: 34.8-42.6) at 12 months. The main cause was infection (30%). Associated factors were: age (>85 years) HR 1.3 (CI95%: 1-1.7; p 0.03), female gender HR 0.5 (CI95%: 0.4-0.7; p<0.01), fragility HR 1.4 (CI95%: 1.1-1.8; p<0.01), Charlson score (≥2) HR 1.6 (CI95%: 1.3-2.1; p<0.01), hospital stay (>7 days) HR 1.4 (CI95%: 1.2- 1.9, p<0.01). CONCLUSIONS: Readmission after hip fracture has a high incidence. Perioperative care of patients with hip fracture is essential to reduce complications.

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Published

05-07-2019

How to Cite

Boietti , B. R. ., Giunta, D. H. ., Uad , P. V., Carretero , M. ., Pollán , J. A., Carabelli , G. S. ., … Benchimol , J. A. . (2019). Hospital Readmission Rate and Risk Factors in Elderly Patients after a Hip Fracture. Revista Argentina De Salud Pública, 10(39), 13–18. Retrieved from https://rasp.msal.gov.ar/index.php/rasp/article/view/507