@article{ref1,
title="In-hospital mortality risk and discharge disposition following hip fractures: an analysis of the Texas Trauma Registry",
journal="Geriatric orthopaedic surgery & rehabilitation",
year="2023",
author="Martinez, Victor H. and Quirarte, Jaime A. and Treffalls, Rebecca N. and McCormick, Sekinat and Martin, Case W. and Brady, Christina I.",
volume="14",
number="",
pages="e21514593231200797-e21514593231200797",
abstract="BACKGROUND: In-hospital mortality and discharge disposition following traumatic hip fractures previously reported in the literature, has mainly focused on a nationwide scale, which may not be reflective of unique populations. <br><br>OBJECTIVE: Our aim was to characterize demographics, hospital disposition, and associated outcomes for patients with the most common hip fractures. <br><br>METHODS: A retrospective study utilizing the Trauma Registry from the Texas Department of State Health Services. Patient demographics, injury characteristics, and outcomes, such as in-hospital mortality, and discharge dispositions, were collected. The data were analyzed via univariate analysis and multivariate regressions. <br><br>RESULTS: There were 17,104 included patients, composed of 45% femoral neck fractures (FN) and 55% intertrochanteric fractures (IT). There were no differences in injury severity score (ISS) (9 ± 1.8) or age (77.4 ± 8 years old) between fracture types. In-hospital mortality risk was low but different among fracture types (intertrochanteric, 1.9% vs femoral neck, 1.3%, P =.004). However, when controlling for age, and ISS, intertrochanteric fractures and Hispanic patients were associated with higher mortality (P <.001, OR 1.5, 95% CI 1.1-2.0). Uninsured, and Black/African American (P =.05, OR 1.2, 95% CI 1.1-1.3) and Hispanic (P <.001, OR 1.2, 95% CI 1.1-1.3) patients were more likely to be discharged home after adjusting for age, ISS, and payment method. <br><br>CONCLUSION: Regardless of age, severity of the injury or admission hemodynamics, intertrochanteric fractures and Hispanic/Latino patients had an increased risk of in-hospital mortality. Patients who were uninsured, Hispanic, or Black were discharged home rather than to rehabilitation, regardless of age, ISS, or payment method.<p /> <p>Language: en</p>",
language="en",
issn="2151-4585",
doi="10.1177/21514593231200797",
url="http://dx.doi.org/10.1177/21514593231200797"
}