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

eISSN: 1468-2834

ISSN: 0002-0729

DOI: 10.1093/ageing/afaa204

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.

http://eprints.bournemouth.ac.uk/35106/

Source: Scopus

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 Ageing

Volume: 50

Issue: 2

Pages: 415-422

eISSN: 1468-2834

DOI: 10.1093/ageing/afaa204

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.

http://eprints.bournemouth.ac.uk/35106/

Source: PubMed

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

eISSN: 1468-2834

ISSN: 0002-0729

DOI: 10.1093/ageing/afaa204

http://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

Authors: Sheehan, K., Goubar, A., Almilaji, O., Finbarr, M., Potter, C., Gareth, J., Sackley, C. and Ayis, S.

Journal: Age and Ageing

Publisher: Oxford University Press

ISSN: 0002-0729

http://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

eISSN: 1468-2834

ISSN: 0002-0729

DOI: 10.1093/ageing/afaa204

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.

http://eprints.bournemouth.ac.uk/35106/

Source: Europe PubMed Central