Risk Factors for Readmission Following Elderly Low Energy Pelvis Fractures

Area of Science:

• Geriatric Trauma
• Orthopedic Surgery
• Health Services Research

Background:

• Fragility fractures of the pelvis (FFP) are linked to decreased mobility and increased mortality in older adults.
• Understanding readmission patterns is crucial for improving outcomes in this vulnerable population.

Purpose of the Study:

• To determine 60-day readmission rates for fragility fractures of the pelvis.
• To identify predictors of readmission after FFP.

Main Methods:

• Retrospective review of 631 patients aged 65+ with FFP from 2010-2022.
• Statistical analysis using chi-square and logistic regression to identify readmission factors.

Main Results:

• 136 patients met inclusion criteria; 23% returned to the ED, 12% were readmitted within 60 days.
• Predictors of ED return included COPD, discharge home (vs. SNF), non-hospital admission, and ASA score ≥4.
• In-ED ambulation was associated with less inpatient admission but higher 60-day ED return.

Conclusions:

• High rates of ED return and readmission observed post-FFP.
• Discharge destination and initial admission status are key factors influencing readmission risk.
• Patient ambulation in the ED may not accurately reflect long-term outcomes, potentially masking higher readmission risk.