Related Experiment Video
Updated: Jun 22, 2026
09:51
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Re-admissions following hip fracture surgery
James Hahnel1, Hannah Burdekin, Sanjeev Anand
1Department of Orthopaedics and Trauma, Yorkshire Deanery, University of Leeds, Leeds, UK. jamesh@doctors.org.uk
Annals of the Royal College of Surgeons of England
|June 30, 2009
Summary
Elderly hip fracture patients experience high readmission rates, often due to medical issues like infection. Understanding these causes is key to reducing patient mortality and improving care.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Public Health
Background:
- Hip fractures pose a significant and increasing health burden in the elderly population.
- Readmission after hip fracture surgery is a critical indicator of adverse events and disease progression.
Purpose of the Study:
- To investigate the rates and primary causes of hospital readmission in elderly patients following hip fracture surgery.
- To identify potential areas for improvement in index admission and rehabilitation to prevent readmissions.
Main Methods:
- An observational, multicenter audit was conducted.
- 535 patients aged over 65 undergoing hip fracture surgery in two UK district general hospitals were included.
Main Results:
- 13.5% of patients died during the initial hospital stay.
- 19.0% of surviving patients were readmitted within 3 months, with medical reasons (54.8%) and failure to rehabilitate (23.8%) being most common.
- Infection was the leading cause of readmission (31.0%). Mortality was higher in readmitted patients (35.1%) compared to those not readmitted (21.3%).
Conclusions:
- Elderly patients with hip fractures exhibit high rates of readmission post-discharge.
- Readmission is associated with significantly increased mortality, highlighting patient frailty.
- Identifying and addressing the causes of readmission can potentially alleviate the burden on healthcare systems.
Related Concept Videos
01:19Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...