Lower mortality and readmission in patients with few comorbidities who underwent hip fracture surgery and were discharged early

S Correoso Castellanos; E Blay Domínguez; E M Veracruz Gálvez; B Muela Pérez; J P Puertas García-Sandoval; F J Ricón Recarey; J E Salinas Gilabert; V Mira Viudes; F Lajara Marco

doi:10.1016/j.recot.2023.02.002

Lower mortality and readmission in patients with few comorbidities who underwent hip fracture surgery and were discharged early

Rev Esp Cir Ortop Traumatol. 2023 Sep-Oct;67(5):365-370. doi: 10.1016/j.recot.2023.02.002. Epub 2023 Feb 15.

[Article in English, Spanish]

Authors

S Correoso Castellanos¹, E Blay Domínguez², E M Veracruz Gálvez², B Muela Pérez², J P Puertas García-Sandoval³, F J Ricón Recarey², J E Salinas Gilabert², V Mira Viudes², F Lajara Marco⁴

Affiliations

¹ Hospital Vega Baja, Orihuela, Alicante, España. Electronic address: silviacorreoso22.scc@gmail.com.
² Hospital Vega Baja, Orihuela, Alicante, España.
³ Hospital Virgen de la Arrixaca, Murcia, España.
⁴ Hospital Reina Sofía, Murcia, España.

PMID: 36801250
DOI: 10.1016/j.recot.2023.02.002

Abstract

Introduction: Preoperative delay in patients with hip fracture surgery (HF) has been associated with poorer outcomes; however, the optimal timing of discharge from hospital after surgery has been little studied. The aim of this study was to determine mortality and readmission outcomes in HF patients with and without early hospital discharge.

Material and methods: A retrospective observational study was conducted selecting 607 patients over 65years of age with HF intervened between January 2015 and December 2019, from which 164 patients with fewer comorbidities and ASA ≤II were included for analysis and divided according to their postoperative hospital stay into early discharge or stay ≤4 days (n=115), and non-early or post-operative stay >4days (n=49). Demographic characteristics; fracture and surgical-related characteristics; 30-day and one-year postoperative mortality rates; 30-day postoperative hospital readmission rate; and medical or surgical cause were recorded.

Results: In the early discharge group all outcomes were better compared to the non-early discharge group: lower 30-day (0.9% vs 4.1%, P=.16) and 1-year postoperative (4.3% vs 16.3%, P=.009) mortality rates, as well as a lower rate of hospital readmission for medical reasons (7.8% vs 16.3%, P=.037).

Conclusions: In the present study, the early discharge group obtained better results 30-day and 1-year postoperative mortality indicators, as well as readmission for medical reasons.

Keywords: Alta hospitalaria precoz; Early hospital discharge; Fractura de cadera; Hip fracture; Hospital readmission; Mortalidad; Mortality; Reingreso hospitalario.