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Comparisons of mortality and rehospitalization between hip-fractured elderly with outpatient rehabilitation and those without: A STROBE-compliant article.

Abstract Geriatric patients with hip fractures have high mortality. This study aimed to compare the mortality and rehospitalization of recipient and nonrecipient of outpatient rehabilitation in hip-fractured elderly.This retrospective cohort study used nationwide claims data in Taiwan and included 3585 senior citizen patients admitted for hip fractures between January 1, 2005, and December 31, 2012. Patients were divided into the recipient (717) and nonrecipient (2868) of outpatient rehabilitation during the first 3 months after hospital discharge. Each patient was followed up for 1 year. Mortality rates of hip-fractured elderly after discharge during the first 3-month period in different groups were analyzed with Chi-square test. Cox proportional hazards regression model was employed for both death and rehospitalization risk analyses.The mortality rate of the rehabilitation group was lower than that of the nonrehabilitation group (12.69% vs 16.70%, P < .05). A more beneficial effect was observed for patients receiving continuous rehabilitation. The rehabilitation group had a lower adjusted risk of death [hazard ratio (HR) = 0.74; 95% confidence interval (95% CI): 0.59-0.94] than that of the nonrehabilitation group. However, the rehabilitation group was at a higher risk of rehospitalization (HR = 1.37; 95% CI: 1.22-1.55).Hip-fractured elderly receiving outpatient rehabilitation have a lower risk of death but a higher risk of rehospitalization than those not receiving rehabilitation within 1 year after fracture.
PMID
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Authors

Mayor MeshTerms

Ambulatory Care

Patient Readmission

Keywords
Journal Title medicine
Publication Year Start




PMID- 29742704
OWN - NLM
STAT- MEDLINE
DCOM- 20180516
LR  - 20180516
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 19
DP  - 2018 May
TI  - Comparisons of mortality and rehospitalization between hip-fractured elderly with
      outpatient rehabilitation and those without: A STROBE-compliant article.
PG  - e0644
LID - 10.1097/MD.0000000000010644 [doi]
AB  - Geriatric patients with hip fractures have high mortality. This study aimed to
      compare the mortality and rehospitalization of recipient and nonrecipient of
      outpatient rehabilitation in hip-fractured elderly.This retrospective cohort
      study used nationwide claims data in Taiwan and included 3585 senior citizen
      patients admitted for hip fractures between January 1, 2005, and December 31,
      2012. Patients were divided into the recipient (717) and nonrecipient (2868) of
      outpatient rehabilitation during the first 3 months after hospital discharge.
      Each patient was followed up for 1 year. Mortality rates of hip-fractured elderly
      after discharge during the first 3-month period in different groups were analyzed
      with Chi-square test. Cox proportional hazards regression model was employed for 
      both death and rehospitalization risk analyses.The mortality rate of the
      rehabilitation group was lower than that of the nonrehabilitation group (12.69%
      vs 16.70%, P &lt; .05). A more beneficial effect was observed for patients receiving
      continuous rehabilitation. The rehabilitation group had a lower adjusted risk of 
      death [hazard ratio (HR) = 0.74; 95% confidence interval (95% CI): 0.59-0.94]
      than that of the nonrehabilitation group. However, the rehabilitation group was
      at a higher risk of rehospitalization (HR = 1.37; 95% CI:
      1.22-1.55).Hip-fractured elderly receiving outpatient rehabilitation have a lower
      risk of death but a higher risk of rehospitalization than those not receiving
      rehabilitation within 1 year after fracture.
FAU - Pan, Po-Jung
AU  - Pan PJ
AD  - Department of Physical Medicine and Rehabilitation, National Yang-Ming University
      Hospital.
AD  - Department of Medicine, National Yang-Ming University, Taipei.
FAU - Lin, Pin-Hsun
AU  - Lin PH
AD  - Department of Medical Affairs, Kuang Tien General Hospital, Taichung.
FAU - Tang, Gau-Jun
AU  - Tang GJ
AD  - Institute of Hospital &amp; Health Care Administration, National Yang-Ming
      University, Taipei, Taiwan.
FAU - Lan, Tzuo-Yun
AU  - Lan TY
AD  - Institute of Hospital &amp; Health Care Administration, National Yang-Ming
      University, Taipei, Taiwan.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Ambulatory Care
MH  - Hip Fractures/*mortality/*rehabilitation/surgery
MH  - Humans
MH  - Mortality
MH  - *Patient Readmission
MH  - Retrospective Studies
MH  - Risk Factors
EDAT- 2018/05/10 06:00
MHDA- 2018/05/17 06:00
CRDT- 2018/05/10 06:00
PHST- 2018/05/10 06:00 [entrez]
PHST- 2018/05/10 06:00 [pubmed]
PHST- 2018/05/17 06:00 [medline]
AID - 10.1097/MD.0000000000010644 [doi]
AID - 00005792-201805110-00023 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(19):e0644. doi: 10.1097/MD.0000000000010644.