OBJECTIVE: To compare the prevalence of discharge home to self-care after hip fracture hospitalization among the elderly in 3 racial groups: whites, Hispanics, and blacks. DESIGN: Secondary data analysis. SETTING: US hospitals. PARTICIPANTS: Patients (N=34,203) aged 65 and older with Medicare insurance discharged after hip fracture hospitalization between 2001 and 2005. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Discharge home to self-care. RESULTS: Bivariate analyses showed higher rates of discharge home to self-care among minorities, 16.4% for Hispanics, 8.7% for blacks, and 5.9% for whites. Hispanics had 3-fold higher odds of being discharged home to self-care, and blacks had about 50% higher odds of being discharged home to self-care after adjusting for age, sex, Klabunde's comorbidity index, income, year of admission, type of hip fracture, surgical stabilization procedure, and length of hospital stay. CONCLUSIONS: The higher rate of discharge home to self-care among minorities underscores the risk of suboptimal outpatient rehabilitative care among minorities with hip fracture.
OBJECTIVE: To compare the prevalence of discharge home to self-care after hip fracture hospitalization among the elderly in 3 racial groups: whites, Hispanics, and blacks. DESIGN: Secondary data analysis. SETTING: US hospitals. PARTICIPANTS: Patients (N=34,203) aged 65 and older with Medicare insurance discharged after hip fracture hospitalization between 2001 and 2005. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Discharge home to self-care. RESULTS: Bivariate analyses showed higher rates of discharge home to self-care among minorities, 16.4% for Hispanics, 8.7% for blacks, and 5.9% for whites. Hispanics had 3-fold higher odds of being discharged home to self-care, and blacks had about 50% higher odds of being discharged home to self-care after adjusting for age, sex, Klabunde's comorbidity index, income, year of admission, type of hip fracture, surgical stabilization procedure, and length of hospital stay. CONCLUSIONS: The higher rate of discharge home to self-care among minorities underscores the risk of suboptimal outpatient rehabilitative care among minorities with hip fracture.
Authors: Gabriel S Tajeu; Elizabeth Delzell; Wilson Smith; Tarun Arora; Jeffrey R Curtis; Kenneth G Saag; Michael A Morrisey; Huifeng Yun; Meredith L Kilgore Journal: J Gerontol A Biol Sci Med Sci Date: 2013-07-19 Impact factor: 6.053