{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T08:53:29Z","timestamp":1781513609037,"version":"3.54.1"},"reference-count":60,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["179845"],"award-info":[{"award-number":["179845"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022760","name":"Trillium Health Partners Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022760","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hip fractures are a significant public health concern, associated with substantial morbidity and mortality. Mortality is the most serious consequence of hip fractures, with a 1\u2010year rate ranging from 14% to 36%. Hospital harms are also more prevalent among older adults with hip fractures, further increasing their risk of mortality. This study aimed to assess the incremental risk of all\u2010cause mortality up to one\u2010year post\u2010discharge among hip fracture patients who experienced hospital harm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A population\u2010based retrospective cohort study using linked health administrative data in Ontario, Canada, was conducted. The cohort included individuals aged 50\u2009years and older hospitalized for hip fractures between April 2008 and March 2022 and discharged alive. All\u2010cause mortality within one\u2010year post\u2010discharge was the primary outcome, and hospital harm was the main exposure. We used Cox proportional hazards models to assess the association between hospital harm and mortality, adjusting for covariates (e.g., age, sex, comorbidities, frailty, and surgery status).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 131,472 patients admitted for acute hip fractures and discharged alive were included in the study, with a mean age of 80.67\u2009\u00b1\u200910.56\u2009years. Of these patients, 17.5% experienced hospital harm during their admission for an acute hip fracture. The overall mortality rate was 18.4% within 1\u2010year post\u2010discharge. After adjusting for covariates, patients who experienced overall harm had a 42% higher risk of all\u2010cause mortality during the 1\u2010year period post\u2010discharge (adjusted hazard ratio, aHR\u2009=\u20091.42, 95% confidence interval, CI: 1.38\u20131.46) compared to those without harm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Experiencing hospital harm significantly increased the risk of 1\u2010year mortality after discharge among hip fracture patients. These findings underscore the importance of improving patient safety and minimizing preventable harm in hospital settings. Mitigation strategies, such as enhanced monitoring and safety protocols, could reduce hospital harm and improve long\u2010term survival. Future research should focus on evaluating such interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70452","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T06:42:48Z","timestamp":1777012968000},"page":"1658-1667","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Association Between Hospital Harms and 1\u2010Year Mortality Following a Hip Fracture in Ontario, Canada: A Cohort Study"],"prefix":"10.1111","volume":"74","author":[{"given":"Anum","family":"Ali","sequence":"first","affiliation":[{"name":"Leslie Dan Faculty of Pharmacy, University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9304-3039","authenticated-orcid":false,"given":"Arrani","family":"Senthinathan","sequence":"additional","affiliation":[{"name":"Leslie Dan Faculty of Pharmacy, University of Toronto  Toronto Ontario Canada"},{"name":"Holzschuh College of Business Administration, Niagara University  Lewiston New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2914-655X","authenticated-orcid":false,"given":"Laleh","family":"Rashidian","sequence":"additional","affiliation":[{"name":"Leslie Dan Faculty of Pharmacy, University of Toronto  Toronto Ontario Canada"},{"name":"Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Qing","family":"Bai","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto  Toronto Ontario Canada"},{"name":"ICES  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter P.","family":"Wodchis","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto  Toronto Ontario Canada"},{"name":"ICES  Toronto Ontario Canada"},{"name":"Institute for Better Health, Trillium Health Partners  Mississauga Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7341-0655","authenticated-orcid":false,"given":"Susan E.","family":"Bronskill","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto  Toronto Ontario Canada"},{"name":"ICES  Toronto Ontario Canada"},{"name":"St.\u00a0John's Rehab Program, Sunnybrook Research Institute  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7431-8159","authenticated-orcid":false,"given":"Chantal","family":"Backman","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Ottawa  Ottawa Ontario Canada"},{"name":"Ottawa Hospital Research Institute  Ottawa Ontario Canada"},{"name":"Bruy\u00e8re Research Institute  Ottawa Ontario Canada"},{"name":"ICES  Ottawa Ontario Canada"},{"name":"Institut du Savoir Montfort  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kednapa","family":"Thavorn","sequence":"additional","affiliation":[{"name":"Ottawa Hospital Research Institute  Ottawa Ontario Canada"},{"name":"ICES  Ottawa Ontario Canada"},{"name":"School of Epidemiology and Public Health, University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Kuluski","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto  Toronto Ontario Canada"},{"name":"Institute for Better Health, Trillium Health Partners  Mississauga Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9552-9139","authenticated-orcid":false,"given":"Sara J. 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