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  • Nordström, PeterUmeå universitet,Geriatrik,Department of Community Medicine and Rehabilitation, Geriatrics, Umeå University, Umeå, Sweden (author)

Geriatric Rehabilitation and Discharge Location After Hip Fracture in Relation to the Risks of Death and Readmission

  • Article/chapterEnglish2016

Publisher, publication year, extent ...

  • Elsevier,2016
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:umu-111890
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-111890URI
  • https://doi.org/10.1016/j.jamda.2015.07.004DOI
  • https://lup.lub.lu.se/record/7840307URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-266031URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-55963URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

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  • OBJECTIVES: To investigate the effects of geriatric rehabilitation on short-term risk of death and readmission after a hip fracture were investigated in a nationwide cohort. In addition, the association of discharge location (nursing home or patient's home) with the short-term risk of death was assessed.DESIGN, SETTING, AND PARTICIPANTS: The cohort consisted of 89,301 individuals at least 50 years of age, with a first hip fracture registered in the Swedish quality register RIKSHÖFT, the years 2004-2012.MEASURES: Short-term risk of death and readmission to hospital after discharge was compared at 8 hospitals, where most patients received inpatient care in geriatric wards, and those treated at 71 regular hospitals.RESULTS: The risks of death within 30 days of admission were 7.1% in patients admitted to geriatric ward hospitals and 7.4% in those treated at regular hospitals (multivariable-adjusted hazard ratio [HR] 0.91, 95% CI 0.85-0.97), whereas the odds of readmission within 30 days of discharge were 8.7% and 9.8%, respectively (multivariable-adjusted odds ratio 0.86, 95% CI 0.81-0.91). The risk of death was influenced by discharge location and inpatient length of stay (LOS). Thus, for patients discharged to short-term nursing homes with a LOS of at most 10 days, each additional day of LOS reduction increased the risk of death within 30 days of discharge by 13% (HR 1.13, 95% CI 1.08-1.18). This association was reduced in patients discharged to permanent nursing homes (HR 1.04, 95% CI 1.02-1.07), and not significant in those discharged to their own home (OR 1.00, 95% CI 0.91-1.10).CONCLUSION: The risks of death and readmission were lower in patients with hip fracture who received care in hospitals with geriatric wards. The risk of death after discharge increased with shorter LOS, especially in patients discharged to short-term nursing homes.

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  • Michaëlsson, Karl,1959-Uppsala universitet,Ortopedi,Department of Surgical Sciences, Orthopedics Section, Uppsala University, Uppsala, Sweden(Swepub:uu)karlmich (author)
  • Hommel, AmiLund University,Lunds universitet,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Care in high technological environments,Lund University Research Groups,Department of Clinical Sciences, Orthopedics, Lund University, Lund, Sweden(Swepub:mau)af4839 (author)
  • Norrman, Per OlaLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Clinical Sciences, Orthopedics, Lund University, Lund, Sweden(Swepub:lu)ort-pno (author)
  • Thorngren, Karl-GöranLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Clinical Sciences, Orthopedics, Lund University, Lund, Sweden(Swepub:lu)ort-kgth (author)
  • Nordström, AnnaUmeå universitet,Yrkes- och miljömedicin,Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden(Swepub:umu)anagun97 (author)
  • Umeå universitetGeriatrik (creator_code:org_t)

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  • In:Journal of the American Medical Directors Association: Elsevier17:11525-86101538-9375

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By the author/editor
Nordström, Peter
Michaëlsson, Kar ...
Hommel, Ami
Norrman, Per Ola
Thorngren, Karl- ...
Nordström, Anna
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Geriatrics
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Orthopaedics
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
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Umeå University
Lund University
Uppsala University
Malmö University

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