FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2017304689> ?p ?o ?g. }

• W2017304689 endingPage "10" @default.
• W2017304689 startingPage "10" @default.
• W2017304689 abstract "In a study in two Michigan skilled nursing facilities, nearly half of patients admitted after hospital stays for hip fracture ended up being readmitted to a hospital within 30 days. But most of those readmissions were because of underlying comorbidity rather than factors related to the surgery itself. Those were among the findings of a retrospective cohort study that won AMDA's Howard Guterman Best Poster Award at the annual conference. Lead author Dr. Christine M. Lopez and her associates at Beaumont Health System, Royal Oak, Mich., analyzed records of all patients who had been discharged, following hip-repair surgery, to two hospital-affiliated SNFs from January to August 2011. The 48 total patients identified had a mean age of 85 years and were predominantly female and white. Fractures were intertrochanteric in just over half of the patients (56%), with smaller numbers having femoral neck or subtrochanteric fractures. Half of the patients had been living at home without assistance prior to their hip fractures, whereas 40% had been living at home with assistance. Only 5 (10%) had been living in nursing homes. Two patients died in one of the SNFs. Of the remaining 46, 52% were eventually discharged home and 48% were back in the hospital within 30 days. “That's a high number. I wasn't expecting 48%,” Dr. Lopez told Caring for the Ages. Previous studies had documented readmission rates of 8%-32% within the first 6 months after hip-fracture surgery. However, most of those studies looked at readmissions from the hospitals’ perspective, whereas this study examines just those discharged from the hospital to an SNF, Dr. Lopez noted. “I think my rate is higher because patients sent to the nursing home are sicker to begin with,” she told Caring for the Ages. The most common reason for readmission was infection not related to the surgery, accounting for 22% of all patients in the study. Most of these were respiratory infections, with a few cases of Clostridium difficile. Neurologic reasons such as delirium and worsening confusion were the second-most common, at 17%. About a third of all the readmissions occurred within the first week of entering the SNF, and a majority within 3 weeks. Factors associated with hospital readmission included older age (85.5 years, compared with 83.9 years for those not readmitted), having more comorbidities (Charlson Comorbidity Index, 3.8 versus 2.8), male gender (70% of the males were readmitted vs. 44% of females), and having been hospitalized for more than 7 days prior to entering the SNF (71% of those who had stayed longer than 7 days were readmitted). In addition, two-thirds (71%) of those who had been on around-the-clock analgesics were readmitted, as were 88% who had been on supplemental oxygen at the time of hospital discharge. And more than half (56%) of patients who were fully dependent for activities of daily living were readmitted, Dr. Lopez and her associates reported. Factors that did not predict readmission included use of antibiotics or antipsychotics and weight-bearing status. Most of the risk factors predicting readmission are not modifiable. However, among patients transferred from a hospital, “there could be a subgroup that can be identified that will need closer monitoring,” Dr. Lopez said. She is now in primary care practice in Trinidad, Colo. She reported having no conflict of interest." @default.
• W2017304689 created "2016-06-24" @default.
• W2017304689 creator A5045389396 @default.
• W2017304689 date "2013-05-01" @default.
• W2017304689 modified "2023-09-26" @default.
• W2017304689 title "Award-Winning Poster Finds Half of SNF Hip Patients Rehospitalized" @default.
• W2017304689 doi "https://doi.org/10.1016/j.carage.2013.04.025" @default.
• W2017304689 hasPublicationYear "2013" @default.
• W2017304689 type Work @default.
• W2017304689 sameAs 2017304689 @default.
• W2017304689 citedByCount "0" @default.
• W2017304689 crossrefType "journal-article" @default.
• W2017304689 hasAuthorship W2017304689A5045389396 @default.
• W2017304689 hasBestOaLocation W20173046891 @default.
• W2017304689 hasConcept C126322002 @default.
• W2017304689 hasConcept C141071460 @default.
• W2017304689 hasConcept C159110408 @default.
• W2017304689 hasConcept C167135981 @default.
• W2017304689 hasConcept C2775854910 @default.
• W2017304689 hasConcept C2776541429 @default.
• W2017304689 hasConcept C2778885795 @default.
• W2017304689 hasConcept C2779159551 @default.
• W2017304689 hasConcept C3019063607 @default.
• W2017304689 hasConcept C3019398978 @default.
• W2017304689 hasConcept C61434518 @default.
• W2017304689 hasConcept C71924100 @default.
• W2017304689 hasConcept C72563966 @default.
• W2017304689 hasConceptScore W2017304689C126322002 @default.
• W2017304689 hasConceptScore W2017304689C141071460 @default.
• W2017304689 hasConceptScore W2017304689C159110408 @default.
• W2017304689 hasConceptScore W2017304689C167135981 @default.
• W2017304689 hasConceptScore W2017304689C2775854910 @default.
• W2017304689 hasConceptScore W2017304689C2776541429 @default.
• W2017304689 hasConceptScore W2017304689C2778885795 @default.
• W2017304689 hasConceptScore W2017304689C2779159551 @default.
• W2017304689 hasConceptScore W2017304689C3019063607 @default.
• W2017304689 hasConceptScore W2017304689C3019398978 @default.
• W2017304689 hasConceptScore W2017304689C61434518 @default.
• W2017304689 hasConceptScore W2017304689C71924100 @default.
• W2017304689 hasConceptScore W2017304689C72563966 @default.
• W2017304689 hasIssue "5" @default.
• W2017304689 hasLocation W20173046891 @default.
• W2017304689 hasOpenAccess W2017304689 @default.
• W2017304689 hasPrimaryLocation W20173046891 @default.
• W2017304689 hasRelatedWork W1988367414 @default.
• W2017304689 hasRelatedWork W2081454999 @default.
• W2017304689 hasRelatedWork W2331820588 @default.
• W2017304689 hasRelatedWork W2332450638 @default.
• W2017304689 hasRelatedWork W2344579054 @default.
• W2017304689 hasRelatedWork W3031620273 @default.
• W2017304689 hasRelatedWork W3081169576 @default.
• W2017304689 hasRelatedWork W3126607818 @default.
• W2017304689 hasRelatedWork W3194582854 @default.
• W2017304689 hasRelatedWork W3022957155 @default.
• W2017304689 hasVolume "14" @default.
• W2017304689 isParatext "false" @default.
• W2017304689 isRetracted "false" @default.
• W2017304689 magId "2017304689" @default.
• W2017304689 workType "article" @default.