Facility and State Variation in Hip Fracture in U.S. Nursing Home Residents.

ABSTRACT: OBJECTIVES:To quantify the variation in hip fracture incidence across U.S. nursing home (NH) facilities and states and examine how hip fracture incidence varies according to facility- and state-level characteristics. DESIGN:Retrospective cohort using linked national Minimum Data Set assessments; Online Survey, Certification and Reporting records; and Medicare claims. SETTING:U.S. NHs with 100 or more beds. PARTICIPANTS:Long-stay NH residents between May 1, 2007, and April 30, 2008, from 1,481 facilities and 46 U.S. states (N = 201,892). MEASUREMENTS:Incident hip fractures were ascertained using Medicare Part A diagnostic codes. Each resident was followed for up to 2 years. RESULTS:The mean adjusted incidence rate of hip fractures for all facilities was 3.13 (95% confidence interval (CI) = 

SUBMITTER: Zullo AR 

PROVIDER: S-EPMC5849498 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature