Skip Navigation


Age and Ageing Advance Access originally published online on July 13, 2009
Age and Ageing 2009 38(5):584-589; doi:10.1093/ageing/afp124
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
38/5/584    most recent
afp124v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Teixeira, A.
Right arrow Articles by Holstein, J.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Teixeira, A.
Right arrow Articles by Holstein, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2009. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Outcomes in older patients after surgical treatment for hip fracture: a new approach to characterise the link between readmissions and the surgical stay

Antonio Teixeira1, Ludovic Trinquart2, Mathilde Raphael3, Tanja Bastianic3, Gilles Chatellier2,3 and Josiane Holstein2,3

1 Service de Médecine Gériatrique, HGMS de Plaisir Grignon, 220 rue Mansart, 78375 Plaisir, France
2 INSERM Centre d’Investigation Epidémiologique 4, Université Paris Descartes, Assistance Publique—Hôpitaux de Paris, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France
3 Département d’Information Médicale, Assistance Publique Hôpitaux de Paris, 3 avenue Victoria, 75004 Paris, France

Address correspondence to: J. Holstein. Tel: (+33) 1 40 27 38 61; Fax: (+33) 1 40 27 37 64. Email: josiane.holstein{at}sap.aphp.fr

Background: in older patients, there is a high risk of hospital readmission within the first year after surgery for hip fracture, due to complications following treatment or to the evolution of prior comorbid conditions.

Objectives: to identify factors associated with readmissions related to the index surgical stay.

Design: retrospective cohort study.

Setting: administrative claims databases.

Subjects: patients over 75 surgically treated for hip fracture in Paris area.

Methods: we analysed all admissions in 2005, and tracked for 1-year readmissions. First readmissions (FRs) were classified as related or unrelated to the index stay, according to rules defined a priori. We analysed the association between patient characteristics and the FR.

Results: among 5,709 patients, 32% had at least one readmission, 53% were FR related. Near 80% of related readmissions occurred within 3 months from discharge. Surgical conditions caused 47% of all related readmissions, and male gender, dementia, cancer or kidney diseases were independent risks factors.

Conclusions: half of readmissions could be classified as related to the index stay and a great majority of these occurred early post discharge. Surgical conditions caused 47% of all related readmissions. Improvement in orthopedic-geriatric co-care is suitable to expect an impact on outcomes after surgery.

Keywords: related readmission, hospital information systems, medical record linkage, hip fractures, elderly

Received 24 February 2009; accepted in revised form 29 April 2009.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.