Factors influencing length of stay and mortality after first and second hip fractures: An event modelling analysis

Khan, Sameer K.; Dosani, Anis; Rushton, Susie; Gray, Andrew; Deehan, David J.

doi:10.1016/j.injury.2012.07.230

Cited by 8 publications

(14 citation statements)

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“…[28][29][30][31] We also found that patients presenting with a second hip fracture are more likely to be older, more likely to be women, and more likely to have pertrochanteric fractures than patients presenting with a first hip fracture. [28][29][30][31] There was an increase in the proportion of hip fracture patients undergoing surgery for a second hip fracture over time. The proportion of women undergoing surgery for second hip fracture grew from 8% to 10% over the 15 fiscal years, whereas the proportion of men remained stable at 6%.…”

Section: Discussionmentioning

confidence: 83%

“…Poorer postsurgical outcomes are seen following second hip fracture than first hip fracture. 15,28 Second hip fracture is associated with excess mortality above that anticipated for an increase in age. 21 Excess mortality after hip fracture surgery is associated with factors inherent to the patient and complications of their injury and treatment.…”

Section: Discussionmentioning

confidence: 99%

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The burden of second hip fractures: provincial surgical hospitalizations over 15 years

Guy

Sobolev

Kuramoto

et al. 2017

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The burden of second hip fractures: provincial surgical hospitalizations over 15 years Background: Second hip fractures account for up to 15% of all hip fractures. We sought to determine if the proportion of hip fracture surgeries for second hip fracture changed over time in terms of patient and fracture characteristics. Methods:We reviewed the records of patients older than 60 years hospitalized for hip fracture surgery between 1990 and 2005 in British Columbia. We studied the proportion of surgeries for second hip fracture among all hip fracture surgeries. Linear regression tested for trends across fiscal years for women and men. Results:We obtained 46 341 patient records. Second hip fracture accounted for 8.3% of hip fracture surgeries. For women the proportion of second hip fracture surgeries increased linearly from 4% to 13% with each age decade (p = 0.001) and across fiscal years (p = 0.002). In men the proportion of second hip fracture surgeries was 5% for each age decade between the ages of 60 and 90 years across fiscal years, increasing to 8% for men older than 90 years across fiscal years (p = 0.20). These sex-specific trends were similar for both pertrochanteric and transcervical fracture types. Conclusion:Second hip fracture surgeries account for an increasing proportion of hip fracture surgeries and may require more health care resources to minimize poorer reported outcomes. Future research should determine whether more health care resources are required to manage these patients and optimize their outcomes.Contexte : Les secondes fractures de la hanche représentent jusqu'à 15 % de la totalité des fractures de la hanche. Nous avons tenté de déterminer si la proportion de chirurgies de seconde fracture de la hanche avait évolué au fil du temps sur le plan des caractéristiques des patients et des fractures.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

The burden of second hip fractures: provincial surgical hospitalizations over 15 years

Guy

Sobolev

Kuramoto

et al. 2017

CJS

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“…Those at risk are easily identified and accessed as they will present to the hospital with their first hip fracture. Despite this, secondary prevention measures are poorly prescribed [2][3][4]. Poorer outcomes present following second as compared to first hip fracture [2,2,4].…”

Section: Discussionmentioning

confidence: 99%

“…One in ten hip fracture survivors will have a second hip fracture [1,2]. After second hip fracture, patients are known to have poorer post-operative outcomes [2][3].…”

Section: Introductionmentioning

confidence: 99%

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Excess mortality associated with second hip fracture

2015

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Constructing an episode of care from acute hospitalization records for studying effects of timing of hip fracture surgery

Sobolev

Guy

Bohm

et al. 2015

Journal Orthopaedic Research

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Episodes of care defined by the event of hip fracture surgery are widely used for the assessment of surgical wait times and outcomes. However, this approach does not consider nonoperative deaths, implying that survival time begins at the time of procedure. This approach makes treatment effect implicitly conditional on surviving to treatment. The purpose of this article is to describe a novel conceptual framework for constructing an episode of hip fracture care to fully evaluate the incidence of adverse events related to time after admission for hip fracture. This admission-based approach enables the assessment of the full harm of delay by including deaths while waiting for surgery, not just deaths after surgery. Some patients wait until their conditions are optimized for surgery, whereas others have to wait until surgical service becomes available. We provide definitions, linkage rules, and algorithms to capture all hip fracture patients and events other than surgery. Finally, we discuss data elements for stratifying patients according to administrative factors for delay to allow researchers and policymakers to determine who will benefit most from expedited access to surgery. ß

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Factors influencing length of stay and mortality after first and second hip fractures: An event modelling analysis

Cited by 8 publications

References 0 publications

The burden of second hip fractures: provincial surgical hospitalizations over 15 years

The burden of second hip fractures: provincial surgical hospitalizations over 15 years

Excess mortality associated with second hip fracture

Constructing an episode of care from acute hospitalization records for studying effects of timing of hip fracture surgery

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