دورية أكاديمية
أعرض في EDS

Predictors of hospital readmission after fractures: One-year follow-up study.

التفاصيل البيبلوغرافية
العنوان: Predictors of hospital readmission after fractures: One-year follow-up study.
المؤلفون: Guimarães LCDC; State School of Public Health Candido Santiago, State Department of Health of Goiás, Goiânia, Goiás, Brazil. Electronic address: lara_cristina_g@hotmail.com., Nunes BKG; State School of Public Health Candido Santiago, State Department of Health of Goiás, Goiânia, Goiás, Brazil., de Lima BR; State School of Public Health Candido Santiago, State Department of Health of Goiás, Goiânia, Goiás, Brazil., Felipe LA; Specialist in urgency and emergency. State Emergency Hospital of Goiânia Dr. Valdemiro Cruz, State Department of Health of Goiás, Goiânia, Goiás; State School of Public Health Candido Santiago, State Department of Health of Goiás, Goiânia, Goiás, Brazil., Batista SR; Doctor of Health Sciences. Superintendência de Estado de Saúde de Goiás, Secretaria de Estado da Saúde de Goiás, Goiânia, Goiás, Brazil., Pagotto V; Doctor in nursing. Federal University of Goiás, Goiânia, Goiás, Brazil.
المصدر: Injury [Injury] 2022 Oct; Vol. 53 (10), pp. 3220-3226. Date of Electronic Publication: 2022 Jun 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0226040 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0267 (Electronic) Linking ISSN: 00201383 NLM ISO Abbreviation: Injury Subsets: MEDLINE
أسماء مطبوعة: Publication: <2002->: Amsterdam : Elsevier
Original Publication: Bristol, Wright.
مواضيع طبية MeSH: Delirium* , Fractures, Bone*/epidemiology , Fractures, Bone*/therapy , Pulmonary Disease, Chronic Obstructive*, Aged ; Follow-Up Studies ; Humans ; Middle Aged ; Patient Readmission ; Prospective Studies ; Retrospective Studies ; Risk Factors ; Time Factors
مستخلص: Objective: Identify the incidence and predictive factors for readmissions of elderly hospitalized with fractures.
Method: Prospective cohort study on 376 elderly people from a trauma referral large hospital in central Brazil. Data were collected from medical records of elderly people with radiological diagnosis of fractures. Readmission that occurs up to one year after the first discharge was defined the outcome variable. Pre- and post-admission characteristics were analyzed as predictive factors. Multiple analysis was performed using robust Poisson regression.
Results: The main cause of hospitalization was fracture of the femur (53.2%) and the most frequent trauma mechanism was fall from standing height (72.9%). The incidence of readmission was 20.7%, of which 30.5% were related to the fracture itself, with emphasis on Surgical Site Infection. The predictors of readmissions were: age range 60 to 69 years, COPD, delirium and fracture of the femur.
Conclusions: The incidence of readmissions was high, with various causes and associated conditions pre-admission (age range 60-69, presenting COPD) and post-admission (delirium). The monitoring of these factors in the hospital environment is essential for prevention of readmissions.
Competing Interests: Declarations of Competing Interest none.
(Copyright © 2022. Published by Elsevier Ltd.)
فهرسة مساهمة: Keywords: Accidents due to falls; Bone fractures; Elderly; Hospital readmission
تواريخ الأحداث: Date Created: 20220710 Date Completed: 20220926 Latest Revision: 20220926
رمز التحديث: 20221213
DOI: 10.1016/j.injury.2022.06.018
PMID: 35811152
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-0267
DOI:10.1016/j.injury.2022.06.018