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Homecare after hip surgery in seniors increases survival rate, study finds

Date:
August 16, 2010
Source:
Canadian Medical Association Journal
Summary:
Patients who receive home care after hemiarthroplasty have a lower risk of death in the first three months after discharge from hospital. Researchers used administrative data to study 11,326 patients who had had the operation and found that less than 16 percent received home care. More research is needed to define the effects of home care and the appropriate level of provision after hip surgery.
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Seniors who received home care after discharge from hospital for partial hip surgery (hemiarthroplasty) were 43% less likely to die in the three months following the procedure, found a study published in CMAJ (Canadian Medical Association Journal). However, less than 16% of elderly patients discharged home after partial hip surgery in the study group received home care.

The study looked at 11,326 men and women aged 65 and older in Quebec who had partial hip surgery between 1997 and 2004. Those who were discharged with home care support were younger, more likely to have been treated in a teaching hospital and lower volume hospitals, and to have stayed more than 7 days in hospital. They were also more likely to have a trial fibrillation and acute renal failure. Men were at higher risk of death compared to women and those who stayed longer in hospital had increased survival rates.

"Comorbidity, with the exception of a trial fibrillation and acute renal failure, did not seem to influence the likelihood of receiving home care after discharge," writes Dr. Elham Rahme, researcher in epidemiology at the Research Institute of the McGill University Health Centre with coauthors. "This indicates perhaps that receiving this care may depend on availability, rather than need of the service."

A report published by the Canadian Institute for Health Information shows that Quebec is the Canadian province that spends the least on home services but has the highest number of home care requests.

The authors conclude that their findings that homecare affects survival rates "has significant public health implications and requires further investigation."


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The above post is reprinted from materials provided by Canadian Medical Association Journal. Note: Materials may be edited for content and length.


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Canadian Medical Association Journal. "Homecare after hip surgery in seniors increases survival rate, study finds." ScienceDaily. ScienceDaily, 16 August 2010. <www.sciencedaily.com/releases/2010/08/100816122134.htm>.
Canadian Medical Association Journal. (2010, August 16). Homecare after hip surgery in seniors increases survival rate, study finds. ScienceDaily. Retrieved August 30, 2015 from www.sciencedaily.com/releases/2010/08/100816122134.htm
Canadian Medical Association Journal. "Homecare after hip surgery in seniors increases survival rate, study finds." ScienceDaily. www.sciencedaily.com/releases/2010/08/100816122134.htm (accessed August 30, 2015).

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