{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:19:46Z","timestamp":1789172386944,"version":"build-2803163510"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,6,14]],"date-time":"2020-06-14T00:00:00Z","timestamp":1592092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Discharge to an inpatient care facility (skilled-care or rehabilitation) has been shown to be associated with adverse outcomes following elective total joint arthroplasties. Current evidence with regard to hip fracture surgeries remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The 2015\u20132016 ACS-NSQIP database was used to query for patients undergoing total hip arthroplasty, hemiarthroplasty and open reduction internal fixation for hip fractures. A total of 15,655 patients undergoing hip fracture surgery were retrieved from the database. Inpatient facility discharge included discharges to skilled-care facilities and inpatient rehabilitation units. Multi-variate regression analysis was used to assess for differences in 30-day post-discharge outcomes between home-discharge versus inpatient care facility discharge, while adjusting for baseline differences between the 2 study populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 12,568 (80.3%) patients were discharged to an inpatient care facility. Discharge to an inpatient care facility was associated with higher odds of any complication (OR 2.03 [95% CI, 1.61\u20132.55]; p &lt; 0.001), wound complications (OR 1.79 [95% CI, 1.10\u20132.91]; p = 0.019), cardiac complications (OR 4.49 [95% CI, 1.40\u201314.40]; p = 0.012), respiratory complication (OR 2.29 [95% CI, 1.39\u20133.77]; p = 0.001), stroke (OR 7.67 [95% CI, 1.05\u201356.29]; p = 0.045, urinary tract infections (OR 2.30 [95% CI, 1.52\u20133.48]; p &lt; 0.001), unplanned re-operations (OR 1.37 [95% CI, 1.03\u20131.82]; p = 0.029) and readmissions (OR 1.38 [95% CI, 1.16\u20131.63]; p &lt; 0.001) following discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Discharge to inpatient care facilities versus home following hip fracture surgery is associated with higher odds of post-discharge complications, re-operations and readmissions. These results stress the importance of careful patient selection prior to discharge to inpatient care facilities to minimise the risk of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120700020920814","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T02:17:18Z","timestamp":1592187438000},"page":"131-139","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Discharge to inpatient care facilities following hip fracture surgery: incidence, risk factors, and 30-day post-discharge outcomes"],"prefix":"10.1177","volume":"32","author":[{"given":"Azeem Tariq","family":"Malik","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thuan V","family":"Ly","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safdar N","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, 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