Patient and hospital factors influencing discharge destination following hip fracture

Tayhla Ryder; Jacqueline C. T. Close; Ian Harris; Ian D. Cameron; Hannah Seymour; Elizabeth Armstrong; Jack Bell; Sarah Hurring; Rebecca Mitchell; ANZHFR Steering Group

doi:10.1111/ajag.12905

Patient and hospital factors influencing discharge destination following hip fracture

Tayhla Ryder, Jacqueline C. T. Close, Ian Harris, Ian D. Cameron, Hannah Seymour, Elizabeth Armstrong, Jack Bell, Sarah Hurring, Rebecca Mitchell, ANZHFR Steering Group

Australian Institute of Health Innovation

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

Objective: To compare demographics, treatment and health outcomes for individuals hospitalised with a hip fracture and examine predictors of postacute discharge destination.

Methods: A retrospective analysis of data from the Australian and New Zealand Hip Fracture Registry of individuals aged ≥50 years hospitalised with a hip fracture from 2015 to 2018 (n = 29 881). Multinominal logistic regression was used to examine factors associated with discharge destination for individuals from private residences.

Results: Advancing age, impaired cognition, reduced walking ability and poorer pre‐operative health were predictors for discharge to residential aged care. The odds of discharge to a rehabilitation unit were higher for individuals with extracapsular fractures, treated at major trauma centres or at hospitals with home‐based rehabilitation. Individuals in rural areas had higher odds of discharge to another hospital or ward.

Conclusion: In addition to well‐known demographics, injury and treatment factors, non‐clinical factors including geographic area of residence also affect discharge destination.

Original language	English
Pages (from-to)	e234-e243
Number of pages	10
Journal	Australasian Journal on Ageing
Volume	40
Issue number	3
Early online date	25 Jan 2021
DOIs	https://doi.org/10.1111/ajag.12905
Publication status	Published - Sep 2021

Keywords

discharge destination
hip fractures
older adults

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10.1111/ajag.12905

Cite this

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title = "Patient and hospital factors influencing discharge destination following hip fracture",

abstract = "Objective: To compare demographics, treatment and health outcomes for individuals hospitalised with a hip fracture and examine predictors of postacute discharge destination. Methods: A retrospective analysis of data from the Australian and New Zealand Hip Fracture Registry of individuals aged ≥50 years hospitalised with a hip fracture from 2015 to 2018 (n = 29 881). Multinominal logistic regression was used to examine factors associated with discharge destination for individuals from private residences. Results: Advancing age, impaired cognition, reduced walking ability and poorer pre‐operative health were predictors for discharge to residential aged care. The odds of discharge to a rehabilitation unit were higher for individuals with extracapsular fractures, treated at major trauma centres or at hospitals with home‐based rehabilitation. Individuals in rural areas had higher odds of discharge to another hospital or ward. Conclusion: In addition to well‐known demographics, injury and treatment factors, non‐clinical factors including geographic area of residence also affect discharge destination.",

keywords = "discharge destination, hip fractures, older adults",

author = "Tayhla Ryder and Close, {Jacqueline C. T.} and Ian Harris and Cameron, {Ian D.} and Hannah Seymour and Elizabeth Armstrong and Jack Bell and Sarah Hurring and Rebecca Mitchell and {ANZHFR Steering Group}",

year = "2021",

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language = "English",

volume = "40",

pages = "e234--e243",

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T1 - Patient and hospital factors influencing discharge destination following hip fracture

AU - Ryder, Tayhla

AU - Close, Jacqueline C. T.

AU - Harris, Ian

AU - Cameron, Ian D.

AU - Seymour, Hannah

AU - Armstrong, Elizabeth

AU - Bell, Jack

AU - Hurring, Sarah

AU - Mitchell, Rebecca

AU - ANZHFR Steering Group

PY - 2021/9

Y1 - 2021/9

N2 - Objective: To compare demographics, treatment and health outcomes for individuals hospitalised with a hip fracture and examine predictors of postacute discharge destination. Methods: A retrospective analysis of data from the Australian and New Zealand Hip Fracture Registry of individuals aged ≥50 years hospitalised with a hip fracture from 2015 to 2018 (n = 29 881). Multinominal logistic regression was used to examine factors associated with discharge destination for individuals from private residences. Results: Advancing age, impaired cognition, reduced walking ability and poorer pre‐operative health were predictors for discharge to residential aged care. The odds of discharge to a rehabilitation unit were higher for individuals with extracapsular fractures, treated at major trauma centres or at hospitals with home‐based rehabilitation. Individuals in rural areas had higher odds of discharge to another hospital or ward. Conclusion: In addition to well‐known demographics, injury and treatment factors, non‐clinical factors including geographic area of residence also affect discharge destination.

AB - Objective: To compare demographics, treatment and health outcomes for individuals hospitalised with a hip fracture and examine predictors of postacute discharge destination. Methods: A retrospective analysis of data from the Australian and New Zealand Hip Fracture Registry of individuals aged ≥50 years hospitalised with a hip fracture from 2015 to 2018 (n = 29 881). Multinominal logistic regression was used to examine factors associated with discharge destination for individuals from private residences. Results: Advancing age, impaired cognition, reduced walking ability and poorer pre‐operative health were predictors for discharge to residential aged care. The odds of discharge to a rehabilitation unit were higher for individuals with extracapsular fractures, treated at major trauma centres or at hospitals with home‐based rehabilitation. Individuals in rural areas had higher odds of discharge to another hospital or ward. Conclusion: In addition to well‐known demographics, injury and treatment factors, non‐clinical factors including geographic area of residence also affect discharge destination.

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KW - hip fractures

KW - older adults

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JO - Australasian Journal on Ageing

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SN - 1741-6612

IS - 3

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Patient and hospital factors influencing discharge destination following hip fracture

Abstract

Keywords

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