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Racial differences in institutionalization after hip fractures: California hospital discharge data
Kalpana Ganesan1, Deyu Pan, Senait Teklehaimenot
1Division of General Internal Medicine, Charles R Drew University of Medicine and Science, Los Angeles, California, USA.
Objective:
Hip fractures related to osteoporosis are a major cause of illness leading to institutionalization of elderly patients. Our objective was to determine the ethnic differences and the factors influencing the placement of hip fracture patients in extended-care facilities (ECFs).
Design:
Secondary data analyses of California Hospital Discharge Data Program (CHDDP).
Participants:
78,576 men and 246,177 women > or = 65 years of age with hip fractures related to osteoporosis were included for the analyses.
Methods:
The main outcome variable was placement in ECFs as opposed to home. Other variables studied were age, gender, ethnicity, cormobid conditions, insurance, and length of stay in the hospital.
Results:
Whites and African-American patients with hip fractures were more likely to be placed in ECFs compared to Hispanics. Older age, male gender, presence of two or more comorbid conditions, Medicare insurance, and shorter length of stay in the hospital were also significantly associated with placement in ECFs.
Conclusion:
Future studies should explore sociocultural and other factors that influence ethnic differences in the disposition of hip fracture patients.