Predictors of 30-day hospital readmission after hip fracture: a systematic review

Ali, Adam M.; Gibbons, Charles

doi:10.1016/j.injury.2017.01.005

Cited by 70 publications

(71 citation statements)

References 49 publications

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“…It is divided into 6 classes ranging from ASA I for a healthy person and ASA VI for a brain dead person whose organs are being removed for donation [20]. An ASA class ≥3 has been consistently associated with 30-day unplanned readmissions across surgical specialties [467821]. Our study corroborated with these findings with ASA class ≥3 being the strongest independent predictor of 30-day unplanned readmissions.…”

Section: Discussionsupporting

confidence: 85%

Unplanned 30-day readmission rates in patients undergoing endo-urological surgeries for upper urinary tract calculi

et al. 2018

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PurposeTo see the 30-day unplanned readmission rates in patients underdoing endo-urological surgeries for upper urinary tract calculi we conducted this retrospective study at King George's Medical University, Lucknow, India. Unplanned readmissions not only add to healthcare costs but also are bothersome for the patients. There are many studies on 30-day unplanned readmissions in general surgical patients. Although similar studies have been done in certain urological procedures, no study has reported readmission rates or its risk factors in patients undergoing surgeries for upper urinary tract calculi.Materials and MethodsWe retrospectively reviewed our prospectively maintained database from 1st January 2009 to 31st December 2017, for the patients who underwent endo-urological procedures for upper urinary tract calculi and identified the patients who were re-admitted within 30 days of discharge.ResultsOut of the total 3,209 patients undergoing endo-urological procedures for upper urinary tract calculi 56 were re-admitted. The readmission rate was 1.74% over the study period. The most common etiology for readmission was sepsis followed by hematuria. The significant risk factors for readmission in bivariate analysis included male gender, age >65 years, current smoking, chronic obstructive pulmonary disease, diabetes mellitus, bleeding disorder, prior cardiac disease, and American Society of Anesthesiologists (ASA) class ≥3. In multivariate risk adjusted logistic regression analysis ASA class ≥3 was the only independent risk factor for readmission.ConclusionsThe readmission rates in endo-urological procedures for urolithiasis are less compared to other procedures. ASA class ≥3 is the most important independent predictor of unplanned 30-day readmissions.

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Section: Discussionsupporting

confidence: 85%

Unplanned 30-day readmission rates in patients undergoing endo-urological surgeries for upper urinary tract calculi

et al. 2018

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“…In previous studies, the 30-day readmission rate has varied between 9 and 12% [16][17][18][19][20]. According to these studies, medical conditions cause readmissions more often than surgical reasons (90% vs. 7%, respectively) [20]. Pneumonia has been the most common single risk factor to cause readmissions in various studies [17,18,20].…”

Section: Introductionmentioning

confidence: 99%

“…According to these studies, medical conditions cause readmissions more often than surgical reasons (90% vs. 7%, respectively) [20]. Pneumonia has been the most common single risk factor to cause readmissions in various studies [17,18,20]. Additionally, there is evidence that a pulmonary disease is a significant risk factor for future readmissions following a hip fracture [17,20].…”

Section: Introductionmentioning

confidence: 99%

“…Pneumonia has been the most common single risk factor to cause readmissions in various studies [17,18,20]. Additionally, there is evidence that a pulmonary disease is a significant risk factor for future readmissions following a hip fracture [17,20]. Also, a higher anesthesiologic risk score decreased functional ability, longer length of stay (LOS) and older age have been associated with a higher rate of readmissions [17,18,20,21].…”

Section: Introductionmentioning

confidence: 99%

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Process-related predictors of readmissions and mortality following hip fracture surgery: a population-based analysis

2020

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Aim To study the readmission rates and predictors of readmission following hip fracture surgery in a tertiary care centre with the very short postoperative length of stay. Findings Postoperative length of stay of only 1-2 days did not increase the risk of readmissions. Delay to surgery, prolonged length of stay, not receiving orthogeriatric contribution and discharge to primary rather than secondary care were associated higher readmission rate and/or mortality. Message Although a very short stay in the operating hospital appears safe, hip fracture patients should not be discharged to primary care wards with insufficient resources for managing the acute postoperative phase.

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“…Elderly hip fracture patients often suffer from comorbidities and the risk for complications is substantial (Haentjens et al 2010, Smith et al 2014, Ali and Gibbons 2017. Complication rates are known to increase with prolonged preoperative waiting time (Simunovic et al 2010, Westberg et al 2013, Pincus et al 2017) and acceptable waiting times according to guidelines and national recommendations vary from 24 to 48 hours (AAOS 2014, NICE 2017.…”

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confidence: 99%

Results after introduction of a hip fracture care pathway: comparison with usual care

et al. 2020

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Predictors of 30-day hospital readmission after hip fracture: a systematic review

Cited by 70 publications

References 49 publications

Unplanned 30-day readmission rates in patients undergoing endo-urological surgeries for upper urinary tract calculi

Unplanned 30-day readmission rates in patients undergoing endo-urological surgeries for upper urinary tract calculi

Process-related predictors of readmissions and mortality following hip fracture surgery: a population-based analysis

Results after introduction of a hip fracture care pathway: comparison with usual care

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