Abstract
OBJECTIVE: Identify the incidence and predictive factors for readmissions of elderly hospitalized
with fractures.
METHOD: Prospective cohort study on 376 elderly people from a trauma referral large hospital
in central Brazil. Data were collected from medical records of elderly people with
radiological diagnosis of fractures. Readmission that occurs up to one year after
the first discharge was defined the outcome variable. Pre- and post-admission characteristics
were analyzed as predictive factors. Multiple analysis was performed using robust
Poisson regression.
RESULTS: The main cause of hospitalization was fracture of the femur (53.2%) and the most
frequent trauma mechanism was fall from standing height (72.9%). The incidence of
readmission was 20.7%, of which 30.5% were related to the fracture itself, with emphasis
on Surgical Site Infection. The predictors of readmissions were: age range 60 to 69
years, COPD, delirium and fracture of the femur.
CONCLUSIONS: The incidence of readmissions was high, with various causes and associated conditions
pre-admission (age range 60–69, presenting COPD) and post-admission (delirium). The
monitoring of these factors in the hospital environment is essential for prevention
of readmissions.
Keywords
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Article info
Publication history
Published online: June 23, 2022
Accepted:
June 12,
2022
Identification
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© 2022 Elsevier Ltd. All rights reserved.
