{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:05:20Z","timestamp":1787069120548,"version":"build-2736575974"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T00:00:00Z","timestamp":1646870400000},"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":["Plast Surg (Oakv)"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>Introduction: Distal radius fractures are a common injury of the hand and wrist that often require intensive rehabilitation. We sought to identify risk factors associated with discharge to a post-acute care facility following distal radius fracture repair. Methods: The 2011 to 2016 National Surgical Quality Improvement Program\u00ae (NSQIP) database was queried for all Current Procedural Terminology (CPT) codes that corresponded with open distal radius fracture repair. Patients with concomitant traumatic injuries were excluded. Patient demographics, comorbidities, perioperative factors, laboratory data, and surgical details were collected. Our primary outcome was to determine postoperative discharge destination: home versus a post-acute care facility, and to identify factors that predict discharge to post-acute care facility. Secondary outcomes included unplanned readmission, reoperation, and complications. Results: Between 2011 and 2016, a total of 12,001 patients underwent open distal radius fracture repair and had complete information for their discharge. Of these analyzed patients, 3.24% (n\u2009\u2009=\u2009\u2009389) were discharged to rehabilitation facilities. The following factors were identified on multivariate analysis to have an association with discharge to a post-acute care facility: 65 years or older, White race, underweight, using steroids preoperatively, American Society of Anesthesiologists (ASA) classification &gt; 2, admitted from a nursing home or already hospitalized, anemic, undergoing bilateral surgery, wound classification other than clean, and complications prior to discharge. Conclusion: Factors identified by our study to have associations with discharge to post-acute care facilities following distal radius fracture repair can help in appropriate patient counseling and triage from the hospital to home versus a post-acute care facility.<\/jats:p>","DOI":"10.1177\/22925503221085082","type":"journal-article","created":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T11:01:11Z","timestamp":1646910071000},"page":"40-46","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Associations with Discharge to Post-Acute Care Facilities Among Patients Undergoing Open Reduction Internal Fixation of Distal Radius Fractures"],"prefix":"10.1177","volume":"32","author":[{"given":"Daniel P.","family":"Donato","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Western University, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Willcockson","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Veith","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8332-2897","authenticated-orcid":false,"given":"Brody W.","family":"King","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayant P.","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,10]]},"reference":[{"key":"bibr1-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2016.03.003"},{"key":"bibr2-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1111\/os.12045"},{"key":"bibr3-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2012.02.001"},{"key":"bibr4-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1007\/BF03324610"},{"key":"bibr5-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-6-87"},{"key":"bibr6-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1315607"},{"key":"bibr7-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1315350"},{"key":"bibr8-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.6383"},{"key":"bibr9-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.11.005"},{"key":"bibr10-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.11.002"},{"key":"bibr11-22925503221085082","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.07.041"},{"key":"bibr12-22925503221085082","unstructured":"About ACS NSQIP. Available at: https:\/\/www.facs.org\/quality-programs\/acs-nsqip\/about. Accessed March 2021."},{"key":"bibr13-22925503221085082","unstructured":"Data collection, analysis, and reporting. Available at: https:\/\/www.facs.org\/quality-programs\/acs-nsqip\/joinnow\/data. 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