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.
https://eprints.bournemouth.ac.uk/35105/
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.
https://eprints.bournemouth.ac.uk/35105/
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
https://eprints.bournemouth.ac.uk/35105/
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
https://eprints.bournemouth.ac.uk/35105/
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.https://eprints.bournemouth.ac.uk/35105/
Source: Europe PubMed Central
Discharge After Hip Fracture Surgery by Mobilisation Timing: Secondary Analysis of The UK National Hip Fracture Database
Authors: Goubar, A., Almilaji, O., Finbarr, M.C., Potter, C., Jones, G.D., Sackley, C., Ayis, S. and Sheehan, K.J.
Abstract:Abstract
https://eprints.bournemouth.ac.uk/35105/
Source: BURO EPrints