Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care Setting
<b>Background:</b> Rehabilitation after a hip fracture has long-term importance, prompting some patients to utilise private services. Insufficient data regarding private rehabilitation in the UK can cause ambiguity and potential problems for all involved. <b>Aim:</b> The pres...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-03-01
|
| Series: | Geriatrics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2308-3417/7/2/44 |
| _version_ | 1827619742265901056 |
|---|---|
| author | Zoe Thornburgh Dinesh Samuel |
| author_facet | Zoe Thornburgh Dinesh Samuel |
| author_sort | Zoe Thornburgh |
| collection | DOAJ |
| description | <b>Background:</b> Rehabilitation after a hip fracture has long-term importance, prompting some patients to utilise private services. Insufficient data regarding private rehabilitation in the UK can cause ambiguity and potential problems for all involved. <b>Aim:</b> The present study, involving patients with hip fractures rehabilitating in a private UK care setting, examined relationships between length of stay (LoS), discharge destination (DD) and 12 predictor variables. <b>Methods:</b> The variables included the retrospective measurement of the Functional Independence Measure. The variables were informed by a literature review and patient and public involvement. Retrospective data from the records of patients with hip fractures were utilised. Data were analysed using Spearman’s rho, Mann–Whitney U, Kruskal–Wallis H and chi-squared tests as appropriate. Odds ratios, distribution quartiles and survivor analysis were also utilised. <b>Results:</b> The median length of stay (LoS) was 20.5 days: 82% returned home, 6.5% died and 11.5% remained as long-term residents. Significant relationships existed between LoS and age (<i>p</i> = 0.004), comorbidities (<i>p</i> = 0.001) and FIM<sub>admission</sub> (<i>p</i> = 0.001). DD was associated with age (<i>p</i> = 0.007), delirium (<i>p</i> = 0.018), comorbidities (<i>p</i> = 0.001) and both FIM<sub>pre-fracture</sub> and FIM<sub>admission</sub> (<i>p</i> = 0.000). <b>Conclusions:</b> Factors associated with length of stay were identified, but further research incorporating multiple sites is required for greater predictor precision. Discharge destination was evident by 90 days, facilitating long-term planning. |
| first_indexed | 2024-03-09T10:35:25Z |
| format | Article |
| id | doaj.art-b358879727024fc08ccef865a8a6d661 |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-09T10:35:25Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-b358879727024fc08ccef865a8a6d6612023-12-01T20:58:12ZengMDPI AGGeriatrics2308-34172022-03-01724410.3390/geriatrics7020044Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care SettingZoe Thornburgh0Dinesh Samuel1Faculty of Environmental and Life Sciences, University of Southampton, Highfield, Southampton SO17 1BJ, UKFaculty of Environmental and Life Sciences, University of Southampton, Highfield, Southampton SO17 1BJ, UK<b>Background:</b> Rehabilitation after a hip fracture has long-term importance, prompting some patients to utilise private services. Insufficient data regarding private rehabilitation in the UK can cause ambiguity and potential problems for all involved. <b>Aim:</b> The present study, involving patients with hip fractures rehabilitating in a private UK care setting, examined relationships between length of stay (LoS), discharge destination (DD) and 12 predictor variables. <b>Methods:</b> The variables included the retrospective measurement of the Functional Independence Measure. The variables were informed by a literature review and patient and public involvement. Retrospective data from the records of patients with hip fractures were utilised. Data were analysed using Spearman’s rho, Mann–Whitney U, Kruskal–Wallis H and chi-squared tests as appropriate. Odds ratios, distribution quartiles and survivor analysis were also utilised. <b>Results:</b> The median length of stay (LoS) was 20.5 days: 82% returned home, 6.5% died and 11.5% remained as long-term residents. Significant relationships existed between LoS and age (<i>p</i> = 0.004), comorbidities (<i>p</i> = 0.001) and FIM<sub>admission</sub> (<i>p</i> = 0.001). DD was associated with age (<i>p</i> = 0.007), delirium (<i>p</i> = 0.018), comorbidities (<i>p</i> = 0.001) and both FIM<sub>pre-fracture</sub> and FIM<sub>admission</sub> (<i>p</i> = 0.000). <b>Conclusions:</b> Factors associated with length of stay were identified, but further research incorporating multiple sites is required for greater predictor precision. Discharge destination was evident by 90 days, facilitating long-term planning.https://www.mdpi.com/2308-3417/7/2/44hip fracturelength of stayrehabilitationdischargedelirium |
| spellingShingle | Zoe Thornburgh Dinesh Samuel Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care Setting Geriatrics hip fracture length of stay rehabilitation discharge delirium |
| title | Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care Setting |
| title_full | Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care Setting |
| title_fullStr | Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care Setting |
| title_full_unstemmed | Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care Setting |
| title_short | Factors Influencing Length of Stay and Discharge Destination of Patients with Hip Fracture Rehabilitating in a Private Care Setting |
| title_sort | factors influencing length of stay and discharge destination of patients with hip fracture rehabilitating in a private care setting |
| topic | hip fracture length of stay rehabilitation discharge delirium |
| url | https://www.mdpi.com/2308-3417/7/2/44 |
| work_keys_str_mv | AT zoethornburgh factorsinfluencinglengthofstayanddischargedestinationofpatientswithhipfracturerehabilitatinginaprivatecaresetting AT dineshsamuel factorsinfluencinglengthofstayanddischargedestinationofpatientswithhipfracturerehabilitatinginaprivatecaresetting |