Do Higher Hospital-wide Nurse Staffing Levels Reduce In-hospital Mortality in Elderly Patients with Hip Fractures: A Pilot Study

Schilling, Peter L.; Goulet, James A.; Dougherty, Paul J.

doi:10.1007/s11999-011-1917-8

Cited by 24 publications

(24 citation statements)

References 39 publications

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“…[1][2][3][4][5] Notably, in-hospital mortality is higher in patients admitted on weekends for several medical conditions such as heart failure (HF), pneumonia, and COPD (chronic obstructive pulmonary disease) exacerbations. 3,4,[6][7][8][9][10][11][12] This phenomenon has been termed the weekend effect. Whether patients discharged on weekends have worse clinical outcomes has been less well studied.…”

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confidence: 99%

Postdischarge Outcomes in Heart Failure Are Better for Teaching Hospitals and Weekday Discharges

McAlister

Majumdar

et al. 2013

Circ: Heart Failure

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Background-It is unclear whether teaching status or day of discharge influences outcomes after a heart failure hospitalization. Methods and Results-We evaluated adults discharged after a heart failure hospitalization between 1999 and 2009 in Alberta, Canada. The primary outcome was death or nonelective readmission 30 days postdischarge. Of 12 216 patients discharged from teaching hospitals and 12 157 patients from nonteaching hospitals, 20 524 (84%) discharges occurred on weekdays. Although they had greater comorbidity and used more healthcare resources before their heart failure hospitalization, patients discharged from teaching hospitals exhibited shorter lengths of stay (adjusted

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confidence: 99%

Postdischarge Outcomes in Heart Failure Are Better for Teaching Hospitals and Weekday Discharges

McAlister

Majumdar

et al. 2013

Circ: Heart Failure

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“…Nursing and nurse management is critical, as resource allocation and nurse staffing has been related to mortality. 14 …”

Section: Triage At Joint Replacement Centresmentioning

confidence: 99%

Intensive care monitoring after total joint replacement

Kamath

McAuliffe

Gutsche

et al. 2013

The Bone & Joint Journal

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Patient safety is a critical issue in elective total joint replacement surgery. Identifying risk factors that might predict complications and intensive care unit (ICU) admission proves instrumental in reducing morbidity and mortality. The institution's experience with risk stratification and pre-operative ICU triage has resulted in a reduction in unplanned ICU admissions and post-operative complications after total hip replacement. The application of the prediction tools to total knee replacement has proven less robust so far. This work also reviews areas for future research in patient safety and cost containment. Patient safety has come to the forefront of both government and lay scrutiny.

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“…Proximal femoral fractures (PFF) are common in the elderly population (1)(2) and the incidence of falls increases with aging (3) . The risk factors indicated by North American Nursing Diagnosis Association International (NANDA-I) are classified into: environmental (room with furniture and objects/rugs scattered on the floor, poor lighting and slippery floor); cognitive (altered mental status); elderly over 65 years old; physiological (impaired balance, visual impairment, incontinence, difficulty walking, neoplasia and use of some medications (4) .…”

Section: Introductionmentioning

confidence: 99%

“…It is estimated that around 5% of hospitalized elderly patients with proximal femoral fractures die during initial hospital stay and one third die in the first year after injury (1) . Thus, in addition to being undesirable to patients, falls followed by PFF are also expensive for their families and the society (1)(2) , as they may compromise functional independence, that is, the individual's ability to do something with their own means, requiring a caregiver, either formal or informal.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, in addition to being undesirable to patients, falls followed by PFF are also expensive for their families and the society (1)(2) , as they may compromise functional independence, that is, the individual's ability to do something with their own means, requiring a caregiver, either formal or informal. The informal caregiver, usually a family member is not paid for the care delivered and may not have the necessary training to perform the task, unlike the formal caregiver (5) .…”

Section: Introductionmentioning

confidence: 99%

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Influência do cuidador informal na reabilitação do idoso em pós-operatório de fratura de fêmur proximal

Rocha

Avila

Bocchi

2016

Rev. Gaúcha Enferm.

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How to cite this article:Rocha SA, Avila MAG, Bocchi SCM. The influence of informal caregivers on the rehabilitation of the elderly in the postoperative period of proximal femoral fracture. Rev Gaúcha Enferm. 2016 mar;37 (1) Results: There was a predominance of studies by Chinese authors and nurses. The analysis of the studies evidenced that falls followed by fractures lead to dependence of older adults and, consequently, an overload to caregivers. Moreover, older adults and caregivers showed a need for support in the rehabilitation process. Conclusions:Informal caregivers still need to be included in care planning and to be qualified for such care by health professionals, since they positively influence functional independence in the postoperative period. Resultados: Predominaram estudos com autoria de chineses e enfermeiros. A análise dos estudos evidenciou que as quedas seguidas por fraturas promovem a dependência de idosos e, consequentemente, a sobrecarga aos cuidadores, demonstrando o binômio idoso dependente-cuidador necessitar de apoio no processo de reabilitação. Keywords Conclusões:Os cuidadores informais ainda precisam ser inseridos no planejamento e capacitados para o cuidado pelos profissionais da saúde, uma vez que influenciam positivamente a independência funcional no pós-operatório. Palavras-chave:Idoso. Acidentes por quedas. Fraturas do fêmur. Cuidadores. Período pós-operatório. RESUMEN Objetivo: Verificar la influencia del cuidador informal en la independencia funcional de ancianos en postoperatorio de fractura proximal de fémur por caídas.Método: Revisión integradora, cuyo análisis se reunieron 23 artículos, entre 2002 y 2012, en las bases de datos Literatura Latinoamericana y del Caribe en Ciencias de la Salud, Cumulative Index to Nursing and Allied Health Literature, US National Library of Medicine e Scopus.Resultados: Predominaron estudios con autores chinos y enfermeros. El análisis de los estudios evidenció que las caídas que producen fracturas promueven la dependencia de ancianos y, consecuentemente, sobrecarga en los cuidadores, demostrando la dupla anciano dependiente-cuidador necesidad de apoyo en el proceso de rehabilitación. Conclusiones:Los cuidadores informales necesitan inserción en la planificación, además de capacitación para cuidados por parte de profesionales de salud, toda vez que influyen positivamente en la independencia funcional durante el postoperatorio.Palabras clave: Anciano. Accidentes por caídas. Fracturas del fémur. Cuidadores. Periodo posoperatorio.

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Do Higher Hospital-wide Nurse Staffing Levels Reduce In-hospital Mortality in Elderly Patients with Hip Fractures: A Pilot Study

Abstract: Background There is increasing recognition that lower nurse staffing levels are associated with higher morbidity and mortality among medical and surgical patients. The degree to which this applies to elderly patients with hip fractures is unclear.

Cited by 24 publications

References 39 publications

Postdischarge Outcomes in Heart Failure Are Better for Teaching Hospitals and Weekday Discharges

Postdischarge Outcomes in Heart Failure Are Better for Teaching Hospitals and Weekday Discharges

Intensive care monitoring after total joint replacement

Influência do cuidador informal na reabilitação do idoso em pós-operatório de fratura de fêmur proximal

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