In-Hospital Mortality Risk and Discharge Disposition Following Hip Fractures: An Analysis of the Texas Trauma...

Area of Science:

• Trauma surgery
• Geriatric orthopedics
• Public health disparities

Background:

• Nationwide studies on hip fracture outcomes may not capture unique population characteristics.
• In-hospital mortality and discharge disposition are critical outcomes following traumatic hip fractures.

Purpose of the Study:

• To characterize demographics, hospital disposition, and outcomes for patients with common hip fracture types.
• To identify factors associated with in-hospital mortality and discharge disposition in hip fracture patients.

Main Methods:

• Retrospective study using the Texas Department of State Health Services Trauma Registry.
• Analysis of patient demographics, injury characteristics, in-hospital mortality, and discharge dispositions.
• Univariate analysis and multivariate regressions were employed to analyze the data.

Main Results:

• The study included 17,104 patients with femoral neck (45%) and intertrochanteric (55%) fractures.
• Intertrochanteric fractures (1.9%) had higher in-hospital mortality than femoral neck fractures (1.3%).
• Hispanic patients and those with intertrochanteric fractures had increased mortality risk when controlling for age and injury severity score (ISS). Uninsured, Black, and Hispanic patients were more likely to be discharged home.

Conclusions:

• Intertrochanteric fractures and Hispanic/Latino ethnicity are associated with increased in-hospital mortality risk.
• Discharge disposition is influenced by race/ethnicity and insurance status, with uninsured, Black, and Hispanic patients more likely to be discharged home.