UNPLANNED CLINIC ATTENDANCE, READMISSION, AND REOPERATION IN THE FIRST 12 MONTHS POSTOPERATIVELY FOLLOWING HIP HEMIARTHROPLASTY FOR ACUTE HIP FRACTURES: WHO IS AT RISK?

Ghani R, Usman M, Salar O, et al. UNPLANNED CLINIC ATTENDANCE, READMISSION, AND REOPERATION IN THE FIRST 12 MONTHS POSTOPERATIVELY FOLLOWING HIP HEMIARTHROPLASTY FOR ACUTE HIP FRACTURES: WHO IS AT RISK?. Orthop Procs. 2021;103-B(SUPP_2):69-69. doi:10.1302/1358-992X.2021.2.069

Ghani, Rafia, et al. “UNPLANNED CLINIC ATTENDANCE, READMISSION, AND REOPERATION IN THE FIRST 12 MONTHS POSTOPERATIVELY FOLLOWING HIP HEMIARTHROPLASTY FOR ACUTE HIP FRACTURES: WHO IS AT RISK?.” Orthopaedic Proceedings, vol. 103-B, no. SUPP_2, 2021, pp. 69-69., https://doi.org/10.1302/1358-992X.2021.2.069

Ghani, R., Usman, M., Salar, O., Khan, A., Karim, J., Davis, E., Quraishi, S., & Ahmed, M. (2021). UNPLANNED CLINIC ATTENDANCE, READMISSION, AND REOPERATION IN THE FIRST 12 MONTHS POSTOPERATIVELY FOLLOWING HIP HEMIARTHROPLASTY FOR ACUTE HIP FRACTURES: WHO IS AT RISK?. Orthopaedic Proceedings, 103-B(SUPP_2), 69-69. https://doi.org/10.1302/1358-992X.2021.2.069

Ghani, R., Usman, M., Salar, O., Khan, A., Karim, J., Davis, E. et al. (2021) “UNPLANNED CLINIC ATTENDANCE, READMISSION, AND REOPERATION IN THE FIRST 12 MONTHS POSTOPERATIVELY FOLLOWING HIP HEMIARTHROPLASTY FOR ACUTE HIP FRACTURES: WHO IS AT RISK?.” Orthopaedic Proceedings, 103-B(SUPP_2), pp. 69-69. Available at: https://doi.org/10.1302/1358-992X.2021.2.069

Ghani, Rafia, Muhammad Usman, Omer Salar, Abdul Khan, Jamila Karim, Edward Davis, Sohail Quraishi, and Mushtaq Ahmed. “UNPLANNED CLINIC ATTENDANCE, READMISSION, AND REOPERATION IN THE FIRST 12 MONTHS POSTOPERATIVELY FOLLOWING HIP HEMIARTHROPLASTY FOR ACUTE HIP FRACTURES: WHO IS AT RISK?.” Orthopaedic Proceedings 103-B, no. SUPP_2 (2021): 69-69. https://doi.org/10.1302/1358-992X.2021.2.069

Ghani R, Usman M, Salar O, Khan A, Karim J, Davis E, et al. UNPLANNED CLINIC ATTENDANCE, READMISSION, AND REOPERATION IN THE FIRST 12 MONTHS POSTOPERATIVELY FOLLOWING HIP HEMIARTHROPLASTY FOR ACUTE HIP FRACTURES: WHO IS AT RISK?. Orthop Procs. 2021 Mar 1;103-B(SUPP_2):69-69. https://doi.org/10.1302/1358-992X.2021.2.069

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Abstract

Objectives

Up to 19% of patients who undergo surgery for an acute hip fracture are readmitted to the hospital within three months of the index operation. We aimed to identify risk factors for unplanned clinic attendance, readmission, and mortality within the first 12 months postoperatively and subsequently determine if there is a role for routine follow-up.

Methods

Patients greater than 65 years old who underwent hip hemiarthroplasty using an uncemented Thompson implant for treatment of a traumatic non-pathological hip fracture were identified from a prospectively maintained database at a single institution between August 2007 and February 2011. Patient demographics, comorbidities, place of residence, mobility status, unplanned attendance to an orthopaedic clinic with symptoms relating to the respective limb, readmission, and mortality were recorded.

Results

Five hundred and fifty-four consecutive patients were identified. Unplanned clinic attendance was correlated to age (p = 0.000, B = −0.0159, 95% confidence interval (CI): −0.200 to −0.65), with patients between the ages of 65 – 70 years most likely to require unplanned clinic review postoperatively. The American Society of Anesthesiologists (ASA) grade (p = 0.019, 95% CI: 0.014 to 0.163) and frequency of unplanned outpatient attendance (p = 0.000, 95% CI: 0.120 to 0.284) were significantly associated with increased readmission within 12 months of the index procedure with patients who were regarded as ASA > 2 most likely to require readmission within the first postoperative year.

Conclusion

To our knowledge, this is the first piece of research that identifies causative factors for unplanned clinic attendance and acute readmission during the first postoperative year in acute hip fracture patients treated by hemiarthroplasty. Routine scheduled follow-up of patients based on risk stratification may be effective in reducing the financial burden of unplanned clinic attendance.

Declaration of Interest

(b) declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported:I declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.