Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de Janeiro
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de epidemiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200439 |
Resumo: | OBJECTIVES: To estimate the risk of death and readmission of a cohort of elderly patients discharged after hip fracture treatment from hospitals of the public health system; to describe the causes of these events; and to compare the rates of readmission and death observed with those of the elderly population hospitalized in public hospitals of Rio de Janeiro city. METHODS: Data on deaths and readmissions were obtained through the linkage of these two data sources: the Hospital Information System of the Sistema Único de Saúde and the Mortality Information System from the city of Rio de Janeiro. The time frame for the study was 2008 to 2011. The population consisted of 2,612 individuals aged 60 years or older with nonelective hospitalization for hip fracture who were followed for a year after discharge. RESULTS: The readmission rate in one year, excluding the deaths in this period, was 17.8%, and the death rate was 18.6%. The most common causes of death were circulatory system diseases (29.5%). Approximately 15% of the causes of readmissions were surgical complications. The state hospitals showed lower readmission risks and higher death risks compared with the federal and municipal hospitals. It was observed that there is an excess risk of readmission and hospitalization of the study population compared with the elderly population hospitalized in the public hospitals of the city. CONCLUSION: Hospitalization of elderly individuals for hip fracture causes adverse outcomes such as readmissions and deaths. Many of these outcomes can be prevented from actions recommended in the National Policy for the Elderly Health. |
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Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de JaneiroPatient readmissionAgedMortalityFemoral fracturesAgingPublic health OBJECTIVES: To estimate the risk of death and readmission of a cohort of elderly patients discharged after hip fracture treatment from hospitals of the public health system; to describe the causes of these events; and to compare the rates of readmission and death observed with those of the elderly population hospitalized in public hospitals of Rio de Janeiro city. METHODS: Data on deaths and readmissions were obtained through the linkage of these two data sources: the Hospital Information System of the Sistema Único de Saúde and the Mortality Information System from the city of Rio de Janeiro. The time frame for the study was 2008 to 2011. The population consisted of 2,612 individuals aged 60 years or older with nonelective hospitalization for hip fracture who were followed for a year after discharge. RESULTS: The readmission rate in one year, excluding the deaths in this period, was 17.8%, and the death rate was 18.6%. The most common causes of death were circulatory system diseases (29.5%). Approximately 15% of the causes of readmissions were surgical complications. The state hospitals showed lower readmission risks and higher death risks compared with the federal and municipal hospitals. It was observed that there is an excess risk of readmission and hospitalization of the study population compared with the elderly population hospitalized in the public hospitals of the city. CONCLUSION: Hospitalization of elderly individuals for hip fracture causes adverse outcomes such as readmissions and deaths. Many of these outcomes can be prevented from actions recommended in the National Policy for the Elderly Health. Associação Brasileira de Saúde Coletiva2015-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200439Revista Brasileira de Epidemiologia v.18 n.2 2015reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1980-5497201500020012info:eu-repo/semantics/openAccessPaula,Fátima de LimaCunha,Geraldo Marcelo daLeite,Iúri da CostaPinheiro,Rejane SobrinoValente,Joaquim Gonçalveseng2015-06-09T00:00:00Zoai:scielo:S1415-790X2015000200439Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2015-06-09T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false |
dc.title.none.fl_str_mv |
Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de Janeiro |
title |
Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de Janeiro |
spellingShingle |
Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de Janeiro Paula,Fátima de Lima Patient readmission Aged Mortality Femoral fractures Aging Public health |
title_short |
Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de Janeiro |
title_full |
Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de Janeiro |
title_fullStr |
Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de Janeiro |
title_full_unstemmed |
Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de Janeiro |
title_sort |
Elderly readmission and death after discharge from treatment of hip fracture, occurred in public hospitals from 2008 to 2010, Rio de Janeiro |
author |
Paula,Fátima de Lima |
author_facet |
Paula,Fátima de Lima Cunha,Geraldo Marcelo da Leite,Iúri da Costa Pinheiro,Rejane Sobrino Valente,Joaquim Gonçalves |
author_role |
author |
author2 |
Cunha,Geraldo Marcelo da Leite,Iúri da Costa Pinheiro,Rejane Sobrino Valente,Joaquim Gonçalves |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Paula,Fátima de Lima Cunha,Geraldo Marcelo da Leite,Iúri da Costa Pinheiro,Rejane Sobrino Valente,Joaquim Gonçalves |
dc.subject.por.fl_str_mv |
Patient readmission Aged Mortality Femoral fractures Aging Public health |
topic |
Patient readmission Aged Mortality Femoral fractures Aging Public health |
description |
OBJECTIVES: To estimate the risk of death and readmission of a cohort of elderly patients discharged after hip fracture treatment from hospitals of the public health system; to describe the causes of these events; and to compare the rates of readmission and death observed with those of the elderly population hospitalized in public hospitals of Rio de Janeiro city. METHODS: Data on deaths and readmissions were obtained through the linkage of these two data sources: the Hospital Information System of the Sistema Único de Saúde and the Mortality Information System from the city of Rio de Janeiro. The time frame for the study was 2008 to 2011. The population consisted of 2,612 individuals aged 60 years or older with nonelective hospitalization for hip fracture who were followed for a year after discharge. RESULTS: The readmission rate in one year, excluding the deaths in this period, was 17.8%, and the death rate was 18.6%. The most common causes of death were circulatory system diseases (29.5%). Approximately 15% of the causes of readmissions were surgical complications. The state hospitals showed lower readmission risks and higher death risks compared with the federal and municipal hospitals. It was observed that there is an excess risk of readmission and hospitalization of the study population compared with the elderly population hospitalized in the public hospitals of the city. CONCLUSION: Hospitalization of elderly individuals for hip fracture causes adverse outcomes such as readmissions and deaths. Many of these outcomes can be prevented from actions recommended in the National Policy for the Elderly Health. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200439 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200439 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-5497201500020012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
dc.source.none.fl_str_mv |
Revista Brasileira de Epidemiologia v.18 n.2 2015 reponame:Revista brasileira de epidemiologia (Online) instname:Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO |
instname_str |
Associação Brasileira de Saúde Coletiva (ABRASCO) |
instacron_str |
ABRASCO |
institution |
ABRASCO |
reponame_str |
Revista brasileira de epidemiologia (Online) |
collection |
Revista brasileira de epidemiologia (Online) |
repository.name.fl_str_mv |
Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO) |
repository.mail.fl_str_mv |
||revbrepi@usp.br |
_version_ |
1754212954353434624 |