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In-hospital mortality after hip fracture by treatment setting

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In-hospital mortality after hip fracture by treatment setting. / Sheehan, Katie; Sobolev, Boris; Guy, Pierre; Kuramoto, Lisa; Morin, Suzanne N; Sutherland, Jason M; Beaupre, Lauren; Griesdale, Donald; Dunbar, Michael; Bohm, Eric; Harvey, Edward; Canadian Collaborative Study of Hip Fractures.

In: CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, Vol. 188, No. 17-18, 06.12.2016, p. 1219-1225.

Research output: Contribution to journalArticle

Harvard

Sheehan, K, Sobolev, B, Guy, P, Kuramoto, L, Morin, SN, Sutherland, JM, Beaupre, L, Griesdale, D, Dunbar, M, Bohm, E, Harvey, E & Canadian Collaborative Study of Hip Fractures 2016, 'In-hospital mortality after hip fracture by treatment setting', CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, vol. 188, no. 17-18, pp. 1219-1225. https://doi.org/10.1503/cmaj.160522

APA

Sheehan, K., Sobolev, B., Guy, P., Kuramoto, L., Morin, S. N., Sutherland, J. M., Beaupre, L., Griesdale, D., Dunbar, M., Bohm, E., Harvey, E., & Canadian Collaborative Study of Hip Fractures (2016). In-hospital mortality after hip fracture by treatment setting. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 188(17-18), 1219-1225. https://doi.org/10.1503/cmaj.160522

Vancouver

Sheehan K, Sobolev B, Guy P, Kuramoto L, Morin SN, Sutherland JM et al. In-hospital mortality after hip fracture by treatment setting. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. 2016 Dec 6;188(17-18):1219-1225. https://doi.org/10.1503/cmaj.160522

Author

Sheehan, Katie ; Sobolev, Boris ; Guy, Pierre ; Kuramoto, Lisa ; Morin, Suzanne N ; Sutherland, Jason M ; Beaupre, Lauren ; Griesdale, Donald ; Dunbar, Michael ; Bohm, Eric ; Harvey, Edward ; Canadian Collaborative Study of Hip Fractures. / In-hospital mortality after hip fracture by treatment setting. In: CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. 2016 ; Vol. 188, No. 17-18. pp. 1219-1225.

Bibtex Download

@article{f093684807674d53befec744b945dda5,
title = "In-hospital mortality after hip fracture by treatment setting",
abstract = "BACKGROUND: Where patients with hip fracture undergo treatment may influence their outcome. We compared the risk of in-hospital death after hip fracture by treatment setting in Canada.METHODS: We examined all discharge abstracts from the Canadian Institute for Health Information with diagnosis codes for hip fracture involving patients 65 years and older who were admitted to hospital with a nonpathological first hip fracture between Jan. 1, 2004, and Dec. 31, 2012, in Canada (excluding Quebec). We compared the risk of in-hospital death, overall and after surgery, between teaching hospitals and community hospitals of various bed capacities, accounting for variation in length of stay.RESULTS: Compared with the number of deaths per 1000 admissions at teaching hospitals, there were an additional 3 (95% confidence interval [CI] 1-6), 14 (95% CI 10-18) and 43 (95% CI 35-51) deaths per 1000 admissions at large, medium and small community hospitals, respectively. For the risk of in-hospital death overall, the adjusted odds ratios (ORs) were 1.05 (95% CI 0.99-1.11), 1.16 (95% CI 1.09-1.24) and 1.44 (95% CI 1.31-1.57) at large, medium and small community hospitals, respectively, compared with teaching hospitals. For the risk of postsurgical death in hospital, the adjusted ORs were 1.06 (95% CI 1.00-1.13), 1.13 (95% CI 1.04-1.23) and 1.18 (95% CI 0.87-1.60) at large, medium and small community hospitals, respectively.INTERPRETATION: Compared with teaching hospitals, the risk of in-hospital death among patients with hip fracture was higher at medium and small community hospitals, and the risk of in-hospital death after surgery was higher at medium community hospitals. No differences were found between teaching and large community hospitals. Future research should examine the role of volume, demand and bed occupancy for observed differences.",
keywords = "Aged, Aged, 80 and over, Arrhythmias, Cardiac, Arthroplasty, Canada, Comorbidity, Diabetes Mellitus, Female, Fracture Fixation, Internal, Heart Failure, Hip Fractures, Hospital Bed Capacity, Hospital Mortality, Hospitals, Community, Hospitals, Teaching, Humans, Hypertension, Length of Stay, Male, Myocardial Ischemia, Odds Ratio, Postoperative Period, Pulmonary Disease, Chronic Obstructive, Regression Analysis, Journal Article",
author = "Katie Sheehan and Boris Sobolev and Pierre Guy and Lisa Kuramoto and Morin, {Suzanne N} and Sutherland, {Jason M} and Lauren Beaupre and Donald Griesdale and Michael Dunbar and Eric Bohm and Edward Harvey and {Canadian Collaborative Study of Hip Fractures}",
note = "{\textcopyright} 2016 Canadian Medical Association or its licensors.",
year = "2016",
month = dec,
day = "6",
doi = "10.1503/cmaj.160522",
language = "English",
volume = "188",
pages = "1219--1225",
journal = "CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne",
issn = "0820-3946",
number = "17-18",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - In-hospital mortality after hip fracture by treatment setting

AU - Sheehan, Katie

AU - Sobolev, Boris

AU - Guy, Pierre

AU - Kuramoto, Lisa

AU - Morin, Suzanne N

AU - Sutherland, Jason M

AU - Beaupre, Lauren

AU - Griesdale, Donald

AU - Dunbar, Michael

AU - Bohm, Eric

AU - Harvey, Edward

AU - Canadian Collaborative Study of Hip Fractures

N1 - © 2016 Canadian Medical Association or its licensors.

PY - 2016/12/6

Y1 - 2016/12/6

N2 - BACKGROUND: Where patients with hip fracture undergo treatment may influence their outcome. We compared the risk of in-hospital death after hip fracture by treatment setting in Canada.METHODS: We examined all discharge abstracts from the Canadian Institute for Health Information with diagnosis codes for hip fracture involving patients 65 years and older who were admitted to hospital with a nonpathological first hip fracture between Jan. 1, 2004, and Dec. 31, 2012, in Canada (excluding Quebec). We compared the risk of in-hospital death, overall and after surgery, between teaching hospitals and community hospitals of various bed capacities, accounting for variation in length of stay.RESULTS: Compared with the number of deaths per 1000 admissions at teaching hospitals, there were an additional 3 (95% confidence interval [CI] 1-6), 14 (95% CI 10-18) and 43 (95% CI 35-51) deaths per 1000 admissions at large, medium and small community hospitals, respectively. For the risk of in-hospital death overall, the adjusted odds ratios (ORs) were 1.05 (95% CI 0.99-1.11), 1.16 (95% CI 1.09-1.24) and 1.44 (95% CI 1.31-1.57) at large, medium and small community hospitals, respectively, compared with teaching hospitals. For the risk of postsurgical death in hospital, the adjusted ORs were 1.06 (95% CI 1.00-1.13), 1.13 (95% CI 1.04-1.23) and 1.18 (95% CI 0.87-1.60) at large, medium and small community hospitals, respectively.INTERPRETATION: Compared with teaching hospitals, the risk of in-hospital death among patients with hip fracture was higher at medium and small community hospitals, and the risk of in-hospital death after surgery was higher at medium community hospitals. No differences were found between teaching and large community hospitals. Future research should examine the role of volume, demand and bed occupancy for observed differences.

AB - BACKGROUND: Where patients with hip fracture undergo treatment may influence their outcome. We compared the risk of in-hospital death after hip fracture by treatment setting in Canada.METHODS: We examined all discharge abstracts from the Canadian Institute for Health Information with diagnosis codes for hip fracture involving patients 65 years and older who were admitted to hospital with a nonpathological first hip fracture between Jan. 1, 2004, and Dec. 31, 2012, in Canada (excluding Quebec). We compared the risk of in-hospital death, overall and after surgery, between teaching hospitals and community hospitals of various bed capacities, accounting for variation in length of stay.RESULTS: Compared with the number of deaths per 1000 admissions at teaching hospitals, there were an additional 3 (95% confidence interval [CI] 1-6), 14 (95% CI 10-18) and 43 (95% CI 35-51) deaths per 1000 admissions at large, medium and small community hospitals, respectively. For the risk of in-hospital death overall, the adjusted odds ratios (ORs) were 1.05 (95% CI 0.99-1.11), 1.16 (95% CI 1.09-1.24) and 1.44 (95% CI 1.31-1.57) at large, medium and small community hospitals, respectively, compared with teaching hospitals. For the risk of postsurgical death in hospital, the adjusted ORs were 1.06 (95% CI 1.00-1.13), 1.13 (95% CI 1.04-1.23) and 1.18 (95% CI 0.87-1.60) at large, medium and small community hospitals, respectively.INTERPRETATION: Compared with teaching hospitals, the risk of in-hospital death among patients with hip fracture was higher at medium and small community hospitals, and the risk of in-hospital death after surgery was higher at medium community hospitals. No differences were found between teaching and large community hospitals. Future research should examine the role of volume, demand and bed occupancy for observed differences.

KW - Aged

KW - Aged, 80 and over

KW - Arrhythmias, Cardiac

KW - Arthroplasty

KW - Canada

KW - Comorbidity

KW - Diabetes Mellitus

KW - Female

KW - Fracture Fixation, Internal

KW - Heart Failure

KW - Hip Fractures

KW - Hospital Bed Capacity

KW - Hospital Mortality

KW - Hospitals, Community

KW - Hospitals, Teaching

KW - Humans

KW - Hypertension

KW - Length of Stay

KW - Male

KW - Myocardial Ischemia

KW - Odds Ratio

KW - Postoperative Period

KW - Pulmonary Disease, Chronic Obstructive

KW - Regression Analysis

KW - Journal Article

U2 - 10.1503/cmaj.160522

DO - 10.1503/cmaj.160522

M3 - Article

C2 - 27754892

VL - 188

SP - 1219

EP - 1225

JO - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

JF - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

SN - 0820-3946

IS - 17-18

ER -

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