Hip Fracture: a Prospective Study of Hospital Course, Complications, and Costs

Overview

Journal J Gen Intern Med

Publisher Springer

Specialty General Medicine

Date 1987 Mar 1

PMID 3559780

Citations 9

Authors

E W Campion

A M Jette

P D Cleary

B A Harris

Affiliations

Soon will be listed here.

Abstract

A prospective study of 79 patients with recent hip fracture revealed prior functional impairments with community mobility (49%), using a bathtub (40%), walking outdoors (26%), and stair-climbing (18%). Eighty-six per cent of patients (mean age 77.9 years) were admitted from home, with 95% surviving to discharge but only 28% returning directly home following surgical repair. In-hospital complications included confusion (49%), urinary tract infection (33%), and heart rhythm disturbance (26%). Mean length of stay was 21.7 days and mean hospital charges were $11,052. The outliers (15%) averaged 60.6 days in length of stay and $28,190 in charges. Stepwise multivariate regression revealed that lengths of stay varied significantly with prefracture functional status, presence of intertrochanteric fractures, and in-hospital complications, but not with patient age. Examination of these findings in relation to prospective reimbursement led to the conclusion that hip fracture patients are particularly vulnerable in the era of new hospital strategies to avoid high-cost patients and curtail hospital costs.

Citing Articles

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Knoll O, Lakomkin N, Shen M, Adebayo M, Kothari P, Dodd A J Clin Orthop Trauma. 2019; 10(Suppl 1):S84-S87.

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Biological and osseointegration capabilities of hierarchically (meso-/micro-/nano-scale) roughened zirconia.

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The direct cost of acute hip fracture care in care home residents in the UK.

Sahota O, Morgan N, Moran C Osteoporos Int. 2011; 23(3):917-20.

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Association analyses of vitamin D-binding protein gene with compression strength index variation in Caucasian nuclear families.

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[Proximal femoral fractures in the elderly. Data from health insurance providers on more than 23 million insured persons--part 2].

Frerichmann U, Raschke M, Stockle U, Wohrmann S, Lohmann R Unfallchirurg. 2007; 110(7):610-6.

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