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Revista Argentina de Salud Pública
Print version ISSN 1852-8724On-line version ISSN 1853-810X
Abstract
BOIETTI, Bruno Rafael et al. Hospital Readmission Rate and Risk Factors in Elderly Patients after a Hip Fracture. Rev. argent. salud pública [online]. 2019, vol.10, n.39, pp.13-18. ISSN 1852-8724.
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-to-readmission.
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%: 1.21.9, p<0.01).
CONCLUSIONS
Readmission after hip fracture has a high incidence. Perioperative care of patients with hip fracture is essential to reduce complications.
Keywords : Hip Fractures; Elderly Person; Patient Readmission.