[Translated article] Lower mortality and readmission in patients with few comorbidities who underwent hip fracture surgery and were discharged early.

Autor: Correoso Castellanos S; Hospital Vega Baja, Orihuela, Alicante, Spain. Electronic address: silviacorreoso22.scc@gmail.com., Blay Domínguez E; Hospital Vega Baja, Orihuela, Alicante, Spain., Veracruz Gálvez EM; Hospital Vega Baja, Orihuela, Alicante, Spain., Muela Pérez B; Hospital Vega Baja, Orihuela, Alicante, Spain., Puertas García-Sandoval JP; Hospital Virgen de la Arrixaca, Murcia, Spain., Ricón Recarey FJ; Hospital Vega Baja, Orihuela, Alicante, Spain., Salinas Gilabert JE; Hospital Vega Baja, Orihuela, Alicante, Spain., Mira Viudes V; Hospital Vega Baja, Orihuela, Alicante, Spain., Lajara Marco F; Hospital Reina Sofía, Murcia, Spain.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2023 Sep-Oct; Vol. 67 (5), pp. T365-T370. Date of Electronic Publication: 2023 Jun 24.
DOI: 10.1016/j.recot.2023.06.012
Abstrakt: Introduction: Pre-operative delay in patients with hip fracture surgery (HF) has been associated with poorer outcomes; however, the optimal timing of discharge from hospital after surgery has been little studied. The aim of this study was to determine mortality and readmission outcomes in HF patients with and without early hospital discharge.
Material and Methods: A retrospective observational study was conducted selecting 607 patients over 65years of age with HF intervened between January 2015 and December 2019, from which 164 patients with fewer comorbidities and ASA≤II were included for analysis and divided according to their post-operative hospital stay into early discharge or stay ≤4 days (n=115), and non-early or post-operative stay >4days (n=49). Demographic characteristics; fracture and surgical-related characteristics; 30-day and one-year post-operative mortality rates; 30-day post-operative hospital readmission rate; and medical or surgical cause were recorded.
Results: In the early discharge group all outcomes were better compared to the non-early discharge group: lower 30-day (0.9% versus 4.1%, p=.16) and 1-year post-operative (4.3% versus 16.3%, p=.009) mortality rates, as well as a lower rate of hospital readmission for medical reasons (7.8% versus 16.3%, p=.037).
Conclusions: In the present study, the early discharge group obtained better results 30-day and 1-year post-operative mortality indicators, as well as readmission for medical reasons.
(Copyright © 2023 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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