Haemoglobin predicts length of hospital stay after hip fracture surgery in older patients

Willems, Jorien M.; Craen, Anton J. M. de; Nelissen, Rob G H H; Luijt, Peter A. van; Westendorp, Rudi G.J.; Blauw, Gerard J.

doi:10.1016/j.maturitas.2012.03.016

Cited by 46 publications

(38 citation statements)

References 20 publications

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“…Their study also showed that pst- operative haemoglobin levels and LOS were inversely related. 17 The implications of our findings are manifold. Firstly, disability should be assessed and documented for all internal medicine patients when assessing the LOS.…”

Section: Discussionmentioning

confidence: 92%

“…This is consistent with prior studies. 17,18,[30][31][32] Collins and colleagues found that post-operative pneumonia in general surgical patients was associated with increased LOS. 30 Hermann and colleagues found that patients with serum albumin level < 34 g/L had mean LOS of 14.1±15.7, in contrast with patients who had albumin levels ≥ 34 g/L who had mean LOS 9.61±12.1 (P<0.001).…”

Section: Discussionmentioning

confidence: 99%

“…Disease related variables included both primary and secondary diagnoses and haematological and biochemical measures. 17,18 Longer LOS has been associated with increased severity of social problems. 7,19 Social issues were also documented if these interfered with the team's plan for discharge.…”

Section: Measurementsmentioning

confidence: 99%

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Disability Impacts Length of Stay in General Internal Medicine Patients

Tan

Koh³

et al. 2014

J GEN INTERN MED

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BACKGROUND: Disability is prevalent among patients treated in Internal Medicine (IM), but its impact on length of inpatient stay (LOS) is unknown. Current systems of patient management and resource allocation are disease-focused with scant attention paid to functional impairment. Earlier studies in selected cohorts suggest that disability prolongs LOS. OBJECTIVE: To investigate the relationship of disability with LOS in IM, controlling for comorbidity. DESIGN: Prospective cohort study. PATIENTS: We charted 448 patients from an IM team admitted between 2008 and 2012 for sociodemographic, disease, biochemical and functional characteristics. Each IM team is on duty for one month annually, and patients were hence recruited for one month each year. MAIN MEASURES: Disability was measured using the Functional Independence Measure (FIM) recorded at discharge. Comorbidity was measured using the Charlson Comorbidity Index (CCI). KEY RESULTS: Of the 448 patients, 57.4 % were male with mean age 68.6 years. The mean LOS was 9.58 days. The mean motor and cognitive FIM scores were 57.1 and 25.7, respectively. The mean CCI score was 2.69. Thirty-four percent had major social issues impacting discharge plans. The five most common diagnoses for admission were pneumonia (8.9 %), urinary tract infection (7.8 %), cellulitis (7.6 %), heart failure (7.1 %) and falls (6.0 %). Both cognitive and motor FIM scores were negatively correlated with longer LOS (P<0.001). On multivariate analysis, variables independently associated with longer LOS included the motor FIM score (P<0.001), presence of social issues such as caregiver unavailability (P<0.001), non-realistic patient expectations (P=0.001) and administrative issues impeding discharge (P=0.016). CONCLUSION: Disability predicts LOS in IM patients, and thus their comprehensive care should involve functional assessment. As social and administrative factors were also independently associated with LOS, there is a need to involve social workers and administrators in a multidisciplinary approach towards optimizing LOS.KEY WORDS: internal medicine; hospital medicine; disability; length of stay (LOS). J Gen Intern Med 29(6):885-90

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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Disability Impacts Length of Stay in General Internal Medicine Patients

Tan

Koh³

et al. 2014

J GEN INTERN MED

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“…Although falls and fractures are more common among older women than men, in the case of hip fracture the mortality rate is almost double in males than in females: 26.8-32.5% versus 17.0-21.9% [18,[22][23][24][25][26][27][28][29][30][31][32]. There are approximately 100,000 osteoporotic bone fractures each year in Hungary, and the treatment costs are estimated to be more than 20 billion HUF (Hungarian Forints, about 64.5 million EUR) for the National Health Insurance Fund (NHIF) in 2011.…”

Section: Figurementioning

confidence: 99%

“…Based on international literature data, 25% of people with hip fracture die within 1 year, and the 5-year survival is only 41%, with an estimated 740,000 deaths worldwide [25,69]. One year after hip fracture the mortality rate is almost double in men than in women: 26.8-32.5% versus 17-21.9% [18,[23][24][25][26][27][28][29][30][31][32]. The rate of frailty and co-morbidities in men contribute to higher mortality rates and explains the high rate of long-term care and hospitalisation, as well as greater rates of smoking and alcohol abuse among men can worsen the outcome [65,66].…”

Section: Utilisation Study Of Anti-osteoporotic Drugsmentioning

confidence: 99%

Geriatric falls and risk factors

Andrea¹

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Postoperative haemoglobin estimation in elderly hip fractures

et al. 2021

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The hip fractures in the elderly are on the rise. In 1998, the total number of hip fractures worldwide was about 1.26 million and is estimated to be about 2.6 million by the year 2025 and 4.5 million by the year 2050. 1 The majority of the patients with fragility hip fractures are frail and have multiple comorbidities. The aim of service delivery in this high-risk group is to minimize hospitalization, morbidity, and mortality. Perioperative hemoglobin levels are an important marker of patient recovery, hospital stay, readmissions, and mortality. Low perioperative hemoglobin is said to be one of the most important factors that delay patient mobility in early postoperative period 2 and therefore potentially increase the risk of medical complications and increase hospital stay. The perioperative hemoglobin levels can predict the mortality in elderly patients with hip fractures. Hemoglobin level below 10 g/ dL is associated with increased mortality in elderly hip fractures. 3 The higher postoperative hemoglobin reduces the length of hospital stay and readmissions within 2 months of surgery. 4 There is a higher in-patient stay, increased morbidity, and mortality in elderly

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Haemoglobin predicts length of hospital stay after hip fracture surgery in older patients

Cited by 46 publications

References 20 publications

Disability Impacts Length of Stay in General Internal Medicine Patients

Disability Impacts Length of Stay in General Internal Medicine Patients

Geriatric falls and risk factors

Postoperative haemoglobin estimation in elderly hip fractures

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