Inter-hospital variations in length of hospital stay following hip fracture

Parker, Martyn J.; Todd, Chris; Palmer, Chris; Camilleri-Ferrante, Corinne; Freeman, Carol; Laxton, C E; Payne, B V; Rushton, Neil

doi:10.1093/ageing/27.3.333

Cited by 27 publications

(15 citation statements)

References 5 publications

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“…These times, even for uncomplicated cases, are long but comparable with other reports. 9,10 The length of hospital stay was increased (p < 0.025) in patients requiring revision except for removal of multiple screws or for loosening of a hemiarthroplasty requiring conversion to a total joint replacement. Some complications have a more favourable outcome.…”

Section: Discussionmentioning

confidence: 99%

The cost and implications of reoperation after surgery for fracture of the hip

Palmer

Parker

Hollingworth

2000

The Journal of Bone and Joint Surgery. British volume

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R evision operations after fracture of the hip are costly, in both monetary and personal terms. We have assessed whether these costs applied equally to all complications after the primary procedure. We studied 3154 consecutive patients with fracture of the hip and analysed the complications and financial implications related to reoperation within one year of injury. The results showed that revision surgery is not always associated with a significant increase in morbidity, financial cost or mortality, but is directly related to the underlying complication.

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Section: Discussionmentioning

confidence: 99%

The cost and implications of reoperation after surgery for fracture of the hip

Palmer

Parker

Hollingworth

2000

The Journal of Bone and Joint Surgery. British volume

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“…An estimated 1.3 million such fractures occurred globally in 1990, with numbers expected to increase to 2.6 million by the year 2025 and 4.5 million by the year 2050 (Gullberg et al 1997). Recent reports have indicated that studies of different treatment regimes are required to determine the optimal management for this injury in order to cope with these increasing numbers of patients (Royal College of Physicians of London 1989, Todd et al 1995, Parker et al 1998. A previous report, which included results of a hip fracture unit , suggested benefits could be obtained from a designated hip fracture service.…”

mentioning

confidence: 99%

11-year results in 2,846 patients of the Peterborough Hip Fracture Project: Reduced morbidity, mortality and hospital stay

Parker¹,

Pryor²,

Myles³

2000

Acta Orthopaedica Scandinavica

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3,025 consecutive patients presenting over an 11-year period with an acute hip fracture were prospectively studied to determine the effectiveness of a designated hip fracture service. After the introduction of the service, the mean length of hospital stay per patient was reduced from 51 days to 21 days. This reduction was accomplished by a progressive increase in the proportion of patients discharged directly home from the admission ward (50%-86%) and a reduction in the numbers of patients transferred to care of the elderly wards (28%-6%) and other outlying wards (15%-3%). This change was accompanied by a reduction in the 30-day mortality rate from 22% to 7%. There was no significant increase in the re-admission rate or proportion of patients requiring institutional care.We conclude that the provision of designated staff and treatment regimes for hip fracture patients can result in a significant reduction in both mortality and morbidity, combined with substantial savings in patient beddays.n

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“…It was considered that timing of initial muscle training was not significant because the amount or type of muscle training performed was not investigated in this study, and because recently patients have been encouraged to ambulate soon after surgery. Although there are some studies showing that timing of moving from bed to chair is significantly related to the length of hospital stay (Parker et al, 1998;Kitamura et al, 1998), there is no study which shows the relationship between timing of moving from bed to chair and ambulatory ability after surgery. It is because just moving from bed to chair is not enough to regain ambulatory ability and ambulation training with weight is more important.…”

Section: Discussionmentioning

confidence: 99%

“…The length of hospital stay for hip fracture patients is 5.9 days in the USA (Weingarten et al, 1994), 12.3 days in Australia (Department of Human Services Victoria, 1998), and 8-28 days in the UK (Parker et al, 1998;Pryor and Williams, 1989). In the USA, where early rehabilitation is promoted, through developing guidelines to identify patients at ''low risk'', appropriate care for each patient could be provided with good results (Weingarten et al, 1994).…”

Section: Introductionmentioning

confidence: 99%