DISCHARGE AFTER HIP FRACTURE SURGERY BY MOBILISATION TIMING: SECONDARY ANALYSIS OF THE UK NATIONAL HIP FRACTURE DATABASE
Authors: Goubar, A., Almilaji, O., Martin, F.C., Potter, C., Jones, G.D., Sackley, C., Ayis, S. and Sheehan, K.J.
Journal: AGE AND AGEING
Volume: 50
eISSN: 1468-2834
ISSN: 0002-0729
DOI: 10.1093/ageing/afab029.13
https://eprints.bournemouth.ac.uk/35106/
Source: Web of Science (Lite)
Discharge after hip fracture surgery by mobilisation timing: Secondary Analysis of The UK National Hip Fracture Database, free papers
Authors: Sheehan, K.J., Goubar, A., Almilaji, O., Martin, F.C., Potter, C., Jones, G.D., Sackley, C. and Ayis, S.
Conference: BOA Virtual Congress 2020
Dates: 15-18 September 2020
https://eprints.bournemouth.ac.uk/35106/
Source: Manual
Discharge after hip fracture surgery by mobilisation timing: secondary analysis of the UK National Hip Fracture Database.
Authors: Sheehan, K.J., Goubar, A., Almilaji, O., Martin, F.C., Potter, C., Jones, G.D., Sackley, C. and Ayis, S.
Journal: Age and Ageing
Volume: 50
Issue: 2
Pages: 415-422
ISSN: 0002-0729
Abstract:OBJECTIVE: To determine whether mobilisation timing was associated with the cumulative incidence of hospital discharge by 30 days after hip fracture surgery, accounting for potential confounders and the competing risk of in-hospital death. METHOD: We examined data for 135,105 patients 60 years or older who underwent surgery for nonpathological first hip fracture between 1 January 2014 and 31 December 2016 in any hospital in England or Wales. We tested whether the cumulative incidences of discharge differed between those mobilised early (within 36 h of surgery) and those mobilised late, accounting for potential confounders and the competing risk of in-hospital death. RESULTS: A total of 106,722 (79%) of patients first mobilised early. The average rate of discharge was 39.2 (95% CI 38.9-39.5) per 1,000 patient days, varying from 43.1 (95% CI 42.8-43.5) among those who mobilised early to 27.0 (95% CI 26.6-27.5) among those who mobilised late, accounting for the competing risk of death. By 30-day postoperatively, the crude and adjusted odds ratios of discharge were 2.36 (95% CI 2.29-2.43) and 2.08 (95% CI 2.00-2.16), respectively, among those who first mobilised early compared with those who mobilised late, accounting for the competing risk of death. CONCLUSION: Early mobilisation led to a 2-fold increase in the adjusted odds of discharge by 30-day postoperatively. We recommend inclusion of mobilisation within 36 h of surgery as a new UK Best Practice Tariff to help reduce delays to mobilisation currently experienced by one-fifth of patients surgically treated for hip fracture.
https://eprints.bournemouth.ac.uk/35106/
Source: BURO EPrints