Predictive factors for early hospital readmission and 1-year mortality in elder patients following surgical treatment of a hip fracture

BACKGROUND: Early hospital readmission after surgically treated hip fracture is a common entity, often involving an adverse event and causing strains on an already overburdened healthcare system. The main purposes of the present study were to determine the 30-day readmission rate, analyze the predictive factors for early hospital readmissions, and assess 1-year mortality following surgical treatment of hip fracture in elderly patients. Retrospective case-control study. METHODS: In total, 517 patients with a mean age of 74 years were evaluated. The rate of early readmission, age, gender, body mass index, fracture type, pre-fracture mobility status, preoperative time to surgery, American Society of Anesthesiologists score, implant type, postoperative intensive care unit stay, total length of postoperative hospital stay, comorbidities, and the main reasons for readmission were the criteria for data collection. Multivariate analysis was performed to determine the main predictors of early hospital readmission. Mortality within the first year after surgery was also assessed. RESULTS: A higher prevalence of chronic obstructive pulmonary disease, cardiac arrhythmia or ischemic heart disease, diabetes, and dementia or Parkinson's disease was detected in readmitted patients. Advanced age, American Society of Anesthesiologists (ASA) grade >= 3, postoperative intensive care unit (ICU) stay, and pre-existing cardiac arrhythmia or ischemic heart disease were identified as the main predictors. The 1-year mortality rate for the readmitted group was 53.9%, whereas it was 24% for those patients who were not readmitted. CONCLUSION: The readmission rate following surgical treatment of hip fracture in elder patients was 12%, and its main predictive factors were advanced age, ASA grade >= 3, postoperative ICU stay, and pre-existing cardiac arrhythmia or ischemic heart disease. Hospital readmission within the first 30-day period following initial discharge was significantly correlated with an increased 1-year mortality rate.

Yazar Sofu, Hakan
Ucpunar, Hanifi
Camurcu, Yalkin
Duman, Serda
Konya, Mehmet Nuri
Gursu, Sarper
Sahin, Vedat
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3127
Tek Biçim Adres 10.5505/tjtes.2016.84404
Konu Başlıkları Elderly
hip fracture
mortality
readmission
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
Dergi Cilt Bilgisi 23
Dergi Sayısı 3
Sayfalar 245 - 250
Yayın Yılı 2017
Eser Adı
[dc.title]
Predictive factors for early hospital readmission and 1-year mortality in elder patients following surgical treatment of a hip fracture
Yazar
[dc.contributor.author]
Sofu, Hakan
Yazar
[dc.contributor.author]
Ucpunar, Hanifi
Yazar
[dc.contributor.author]
Camurcu, Yalkin
Yazar
[dc.contributor.author]
Duman, Serda
Yazar
[dc.contributor.author]
Konya, Mehmet Nuri
Yazar
[dc.contributor.author]
Gursu, Sarper
Yazar
[dc.contributor.author]
Sahin, Vedat
Yayın Yılı
[dc.date.issued]
2017
Yayıncı
[dc.publisher]
TURKISH ASSOC TRAUMA EMERGENCY SURGERY
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
BACKGROUND: Early hospital readmission after surgically treated hip fracture is a common entity, often involving an adverse event and causing strains on an already overburdened healthcare system. The main purposes of the present study were to determine the 30-day readmission rate, analyze the predictive factors for early hospital readmissions, and assess 1-year mortality following surgical treatment of hip fracture in elderly patients. Retrospective case-control study. METHODS: In total, 517 patients with a mean age of 74 years were evaluated. The rate of early readmission, age, gender, body mass index, fracture type, pre-fracture mobility status, preoperative time to surgery, American Society of Anesthesiologists score, implant type, postoperative intensive care unit stay, total length of postoperative hospital stay, comorbidities, and the main reasons for readmission were the criteria for data collection. Multivariate analysis was performed to determine the main predictors of early hospital readmission. Mortality within the first year after surgery was also assessed. RESULTS: A higher prevalence of chronic obstructive pulmonary disease, cardiac arrhythmia or ischemic heart disease, diabetes, and dementia or Parkinson's disease was detected in readmitted patients. Advanced age, American Society of Anesthesiologists (ASA) grade >= 3, postoperative intensive care unit (ICU) stay, and pre-existing cardiac arrhythmia or ischemic heart disease were identified as the main predictors. The 1-year mortality rate for the readmitted group was 53.9%, whereas it was 24% for those patients who were not readmitted. CONCLUSION: The readmission rate following surgical treatment of hip fracture in elder patients was 12%, and its main predictive factors were advanced age, ASA grade >= 3, postoperative ICU stay, and pre-existing cardiac arrhythmia or ischemic heart disease. Hospital readmission within the first 30-day period following initial discharge was significantly correlated with an increased 1-year mortality rate.
Açıklama
[dc.description]
WOS: 000403589400012
Açıklama
[dc.description]
PubMed: 28530779
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Elderly
Konu Başlıkları
[dc.subject]
hip fracture
Konu Başlıkları
[dc.subject]
mortality
Konu Başlıkları
[dc.subject]
readmission
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1306-696X
İlk Sayfa Sayısı
[dc.identifier.startpage]
245
Son Sayfa Sayısı
[dc.identifier.endpage]
250
Dergi Adı
[dc.relation.journal]
ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
23
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.5505/tjtes.2016.84404
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3127
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
21
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
10 Şubat 2024 02:08
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readmission patients disease postoperative fracture hospital readmitted 1-year mortality ischemic arrhythmia following cardiac pre-existing predictors intensive Anesthesiologists American surgery Society treatment surgical 30-day determine within predictive factors obstructive Hospital period initial discharge significantly correlated pulmonary
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