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© 1998 Oxford University Press

research-article

Inter-hospital variations in length of hospital stay following hip fracture

MARTYN J. PARKER, CHRIS J. TODD1, CHRIS R. PALMER1, CORINNE CAMILLERI-FERRANTE2, CAROL J. FREEMAN2, CLAIRE E. LAXTON2, BRIAN V. PAYNE3 and NEIL RUSHTON4

Department of Orthopaedic Surgery, Peterborough District Hospital Peterborough PE3 6DA UK
1Health Services Research Group, Department of Community Medicine, University of Cambridge Cambridge, UK
2Directorate of Public Health Medicine, Anglia and Oxford Regional Heath Authority Cambridge, UK
3Department of Medicine for the Elderly, West Norwich Health Authority Norwich, UK
4Addenbrookes Hospital Department of Orthopaedic Surgery, University of Cambridge Cambridge, UK

Address correspondence to: M. Parker Fax: (+44) 1733 874001. E-mail: mjparker{at}globalnetco.uk

OBJECTIVE:: to investigate differences in length of hospital stay after hip fracture.

DESIGN:: prospective survey of a consecutive series of patients admitted with an acute hip fracture and followed-up for 90 days after admission.

SETTING:: eight hospitals in the East Anglian region.

SUBJECTS:: 580 patients admitted with a hip fracture.

MAIN OUTCOME MEASURES:: mortality, length of hospital stay, place of discharge and transfer of patients between hospitals.

RESULTS:: there was a significant difference in the median lengths of hospital stay between centres (range 13–28 days). A prolonged hospital stay was associated with increased age, decreased activities of daily living score and delay from surgery to mobilization. Hospitals which had a policy of transferring patients to other wards prior to discharge tended to have a longer length of hospital stay.

CONCLUSIONS:: large differences in the duration of inpatient stay exist between hospitals. Centres which transferred a high proportion of patients before discharge had a longer length of stay.

Keywords: audit, hip fracture, hospital stay

Received July 6, 1996;
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