Hospital Characteristics, Inpatient Processes of Care, and Readmissions of Older Adults with Hip Fractures.

ABSTRACT:

Objectives

To determine hospital-level predictors of readmission after hip fracture or potentially related inpatient care processes.

Design

Retrospective cohort study.

Setting

U.S. acute care hospitals.

Participants

Fee-for-service Medicare beneficiaries who underwent hip fracture surgery between 2007 and 2009 (N = 458,526).

Measurements

Information was obtained on hospital case volumes, teaching status, bed count, nurse staffing, and technological capabilities from Medicare files, and multivariable logistic regression was used to measure the association between these factors and an endpoint of readmission or death at 30 days and between these factors and the timing of surgery.

Results

Participants treated in the highest-volume hospitals (>175 cas

SUBMITTER: Elkassabany NM 

PROVIDER: S-EPMC4988892 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature