Group-based trajectories of potentially preventable hospitalisations among older adults after a hip fracture
An erratum to this article was published (Osteoporos Int, Oct 2024 ↗)
Authors' conclusion
Identifying trajectories of PPH after a hip fracture and factors predictive of trajectory group membership could be used to target strategies to reduce multiple readmissions.
Study context
- Population
- Patients aged ≥ 65 years admitted after a hip fracture and discharged 2014–2016, New South Wales, Australia
- Participants
- 17,591 patients
- Exposure
- Potentially preventable hospitalisations (PPH) trajectory groups
- Outcome
- Group-based trajectories of potentially preventable hospitalisations (PPH) and predictors of trajectory group membership
- Follow-up
- Five-year period after hip fracture
Methodological detailslinked hospitalisation and mortality data, group-based trajectory modelling, multinomial logistic regression
- Linked hospitalisation and mortality data
- Group-based trajectory modelling
- Multinomial logistic regression
Main finding
As reported in the abstract
PPH trajectory group membership · 5 years
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | |
|---|---|---|
| Predictors: high vs low PPHHigh PPHvs Low PPH≥ 2 comorbidities | 1.86 (1.04–3.32) | |
| Predictors: high vs low PPHHigh PPHvs Low PPHCOPD | 2.97 (1.76–5.04) | |
| 0.20.5125Odds ratio (log scale) |
Predictors: low and high vs no PPH
- Low and high PPH more likely to have congestive heart failure (CHF), high frailty risk, ≥ 2 comorbidities and chronic obstructive pulmonary disease (COPD) than no PPH
Original publication
Group-based trajectories of potentially preventable hospitalisations among older adults after a hip fracture. Osteoporos Int. Published 31 July 2024. doi:10. 1007/ s00198-024-07203-4
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