Factors affecting mortality and hospital admissions after hip surgery among elderly patients in Hong Kong: review of a three-year follow-up

Background and purpose: Hip fracture in the elderly leads to increased mortality and hospital re-admission in the following years. Such elderly people deserve better post-discharge management by a multi-disciplinary team. This study intended to identify factors associated with mortality and readmiss...

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Bibliographic Details
Published in:Asian journal of gerontology and geriatrics 2015-06, Vol.10 (1), p.34-34
Main Author: Wang, QL
Format: Article
Language:English
Subjects:
Fractures
Hospitalization
Mortality
Older people
Patient admissions
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Summary:Background and purpose: Hip fracture in the elderly leads to increased mortality and hospital re-admission in the following years. Such elderly people deserve better post-discharge management by a multi-disciplinary team. This study intended to identify factors associated with mortality and readmissions to determine which patients should be further monitored. Methods: This is a retrospective review of a cohort of 293 elderly patients recruited in the year 2010. 20 potential risk and/ or protective factors were retrieved from their medical records. Mortality and hospital admissions were analysed by a blinded assessor. Cox regression analysis was used to validate factors attributing to these outcomes. Results: The mortality within 0.5, 1, 2, and 3 years of hip fracture were 7.2%, 14.0%, 24.6%, and 33.4%, respectively. The rate of emergency readmission within 0.5, 1, 2, and 3 years of hip fracture were 29.4%, 41.6%, 59.4%, and 71.7%, respectively. Multivariate analysis showed that being male (HR=2.84, 95% CI=1.85-4.40), >2 days from injury to surgery (Hr=1.83, 95% CI=1.22-2.77), albumin level of
ISSN:1819-1576
1819-1576