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Patient and hospital factors influencing discharge destination following hip fracture
Author(s) -
Ryder Tayhla,
Close Jacqueline,
Harris Ian,
Cameron Ian D.,
Seymour Hannah,
Armstrong Elizabeth,
Bell Jack,
Hurring Sarah,
Mitchell Rebecca
Publication year - 2021
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12905
Subject(s) - medicine , demographics , odds , hip fracture , logistic regression , rehabilitation , residence , odds ratio , hospital discharge , retrospective cohort study , physical therapy , emergency medicine , gerontology , demography , osteoporosis , sociology
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.