{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T22:09:03Z","timestamp":1780870143220,"version":"3.54.1"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"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":["Geriatr Orthop Surg Rehabil"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Adherence to best practices for care of hip fracture patients is fundamental to decreasing morbidity and mortality in older adults. This includes timely transfer from the hospital to rehabilitation soon after their surgical care. Hospitals experience challenges in implementing several best practices. We examined the potential barriers associated with timely discharge for patients who underwent a hip fracture surgery in an academic hospital in Ontario, Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cross-sectional review of a local database. We used descriptive statistics to characterize individuals according to the time of discharge after surgery. Multivariable binary logistic regression was used to evaluate factors associated with delayed discharge (&gt;6\u00a0days post-surgery).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 492 patients who underwent hip fracture surgery between September 2019 and August 2020 were included in the study. The odds of having a delayed discharge occurred when patients had a higher frailty score (odds ratios [OR] 1.19, 95% confidence interval [CI] 1.02;1.38), experienced an episode of delirium (OR 2.54, 95% CI 1.35;4.79), or were non-weightbearing (OR 3.00, 95% CI 1.07;8.43). Patients were less likely to have a delayed discharge when the surgery was on a weekend (OR .50, 95% CI .32;.79) compared to a weekday, patients had a total hip replacement (OR .28, 95% CI .10;.80) or dynamic hip screw fixation (OR .49, 95% CI .25;.98) compared to intramedullary nails, or patients who were discharged to long-term care (OR .05, 95% CI .02;.13), home (OR .26, 95% CI .15;.46), or transferred to another specialty in the hospital (OR .49, 95% CI .29;.84) compared to inpatient rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Clinical and organizational factors can operate as potential barriers to timely discharge after hip fracture surgery. Further research is needed to understand how to overcome these barriers and implement strategies to improve best practice for post-surgery hip fracture care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21514593241273170","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T10:34:00Z","timestamp":1723804440000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Barriers to Discharge of Hip Fracture Patients From An Academic Hospital: A Retrospective Data Analysis"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7431-8159","authenticated-orcid":false,"given":"Chantal","family":"Backman","sequence":"first","affiliation":[{"name":"University of Ottawa"},{"name":"Ottawa Hospital Research Institute"},{"name":"Bruy\u00e8re Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franciely D.","family":"Engel","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Webber","sequence":"additional","affiliation":[{"name":"Ottawa Hospital Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Harley","sequence":"additional","affiliation":[{"name":"Bruy\u00e8re Continuing Care"},{"name":"University of Ottawa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Tanuseputro","sequence":"additional","affiliation":[{"name":"Ottawa Hospital Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana L\u00facia Schaefer Ferreira","family":"de Mello","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela Marcellino de Melo","family":"Lanzoni","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Papp","sequence":"additional","affiliation":[{"name":"University of Ottawa"},{"name":"The Ottawa Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03991-0"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.04.015"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5413.73656"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S150067"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-017-4153-6"},{"key":"e_1_3_4_7_2","volume-title":"Quality Standards. Hip Fracture Care for People with Fragility Fractures","author":"Health Quality Ontario","year":"2017","unstructured":"Health Quality Ontario. Quality Standards. Hip Fracture Care for People with Fragility Fractures. Toronto, ON: Health Quality Ontario; 2017. Available: https:\/\/www.hqontario.ca\/portals\/0\/documents\/evidence\/quality-standards\/qs-hip-fracture-clinical-guide-en.pdf"},{"key":"e_1_3_4_8_2","volume-title":"Quality-Based Procedures: Clinical Handbook for Hip Fracture","author":"Health Quality Ontario & Ministry of Health and Long-Term Care","year":"2013","unstructured":"Health Quality Ontario & Ministry of Health and Long-Term Care. Quality-Based Procedures: Clinical Handbook for Hip Fracture. Toronto, ON: Health Quality Ontario; 2013. Available: https:\/\/www.health.gov.on.ca\/en\/pro\/programs\/ecfa\/docs\/qbp_hipfracture.pdf"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/215145932093510."},{"key":"e_1_3_4_10_2","unstructured":"National Institute for Health and Care Excellence. Hip fracture overview. 2020. Available: https:\/\/pathways.nice.org.uk\/pathways\/hip-fracture"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007125.pub3"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-4-201108160-00006"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/21514593211047666"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1718"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.3310\/hta4020"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.013"},{"key":"e_1_3_4_17_2","unstructured":"Bone and Joint Canada. National hip fracture toolkit. 2011. Available at: https:\/\/boneandjointcanada.com\/wp-content\/uploads\/2014\/05\/National-hip-fracture-toolkit-June-2011.pdf"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.006822"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/1708272"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2023.02.008"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15607"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000962"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-022-01079-z"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.17606"}],"container-title":["Geriatric Orthopaedic Surgery &amp; Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21514593241273170","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21514593241273170","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21514593241273170","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:09:26Z","timestamp":1777446566000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21514593241273170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":23,"alternative-id":["10.1177\/21514593241273170"],"URL":"https:\/\/doi.org\/10.1177\/21514593241273170","relation":{},"ISSN":["2151-4593","2151-4593"],"issn-type":[{"value":"2151-4593","type":"print"},{"value":"2151-4593","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]},"article-number":"21514593241273170"}}