Association of Clinical Outcomes With Surgical Repair of Hip Fracture vs Nonsurgical Management in Nursing Home Residents With Advanced Dementia.

ABSTRACT:

Importance

The decision whether to surgically repair a hip fracture in nursing home (NH) residents with advanced dementia can be challenging.

Objective

To compare outcomes, including survival, among NH residents with advanced dementia and hip fracture according to whether they underwent surgical hip fracture repair.

Design, setting, and participants

We conducted a retrospective cohort study of 3083 NH residents with advanced dementia and hip fracture, but not enrolled in hospice care, using nationwide Medicare claims data linked with Minimum Data Set (MDS) assessments from January 1, 2008, through December 31, 2013.

Methods

Residents with advanced dementia were identified using the MDS. Medicare claims were used to identify hip fracture and to determine whether

SUBMITTER: Berry SD 

PROVIDER: S-EPMC5997966 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature