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The Archives of Bone and Joint Surgery، جلد ۶، شماره ۶، صفحات ۰-۰
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چکیده فارسی مقاله
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عنوان انگلیسی Longer Length of Stay Increases 1-year Readmission Rate in Patients Undergoing Hip Fracture Surgery
چکیده انگلیسی مقاله Introduction: Proximal femur fractures are prevalent among the elderly and associated with substantial morbidity, mortality, and early readmission. Early readmission is gaining popularity as a measure of quality of hospital care and can lower reimbursement. A better understanding of the patient and treatment characteristics associated with readmission may help inform program improvement initiatives. This study tested the primary null hypothesis that length of stay is not associated with higher rates of readmission within 30 days and 1 year in patients having operative treatment of a proximal femur fracture, accounting for discharge destination and other factors. Methods: We performed a secondary analysis on a database of 1,061 adult patients age 55 years or older, admitted for treatment of a proximal femoral fracture in an urban level 2 trauma center. Multivariable logistic and linear regression models were created to account for the influence of age, sex, race, BMI, American Society of Anesthesiologists score (ASA), fracture type (AO/OTA), fixation type, operating surgeon, operative duration, and discharge destination. Results: In multivariable logistic regression analysis, treatment by surgeon 4 was independently associated with a lower 30-day readmission rate. Higher one-year readmission rate was associated with a longer length of stay, ASA class 3, 4 and 5. Conclusions: The observation that patients cared for by specific surgeons are more likely to experience readmission within one year of surgery for a fracture of the proximal femur, suggests that program improvements to identify and disseminate best practices might reduce readmission rates. Level of evidence: Prognostic, level 3
کلیدواژه‌های انگلیسی مقاله Length of stay, discharge destination, hip fracture, Surgery
نویسندگان مقاله | Tom J. Crijns
Surgery and Perioperative care, Dell Medical School, University of Texas at Austin, USA


| Tyler Caton
JPS Health Network, Fort Worth, Texas


| Teun Teunis
Department of Plastic Reconstructive and Hand Surgery University Medical Center, Utrecht, the Netherlands


| Jacob T. Davis
Orthopaedic Surgery Resident: Department of Orthopaedic Surgery, JPS Health Network, Fort Worth, TX, USA


| Kindra McWilliam-Ross
Orthopaedic Clinical Nurse Specialist: Texas Health Harris Methodist Hospital Fort Worth, Fort Worth, TX, USA


| David Ring
Dell Medical School -- The University of Texas at Austin


| Hugo B. Sanchez
Assistant Professor of Orthopaedic Surgery: Department of Orthopaedic Surgery, Acclaim Physician Group, Fort Worth, TX, USA
نشانی اینترنتی http://abjs.mums.ac.ir/article_11651.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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