DOS 2017

DOS Kongressen 2017 ·

167

Regain of the pre-fracture basic mobility at the

time of acute hospital discharge is associated with

the risk of 30-day mortality and readmission – A

1-year nationwide register study of 5,554 Danish patients with

hip fracture

Morten Tange Kristensen , Buket Öztürk , Niels Dieter Rock, Annette Ingeman, Henrik

Palm , Alma Becic Pedersen

Physical Medicine and Rehabilitation Research – Copenhagen (PMR-C), Departments

of Physical Therapy and Orthopedic Surgery, Amager-Hvidovre University Hospital, Co-

penhagen, Denmark; Department of Clinical Epidemiology, Aarhus University Hospital,

Denmark; Department of Orthopedic Surgery O , Odense University Hospital, Denmark;

Department of Clinical Epidemiology, Aarhus University Hospital, Denmark; Hip Fracture

Unit, Department of Orthopedics , Hvidovre University Hospital, Copenhagen, Denmark;

Department of Clinical Epidemiology, Aarhus University Hospital, Denmark

Background:

The regain of pre-fracture basic mobility status at acute hospital discharge

is considered an important first step for patients recovering from a hip fracture (HF). The

Cumulated Ambulation Score (CAS) is a validated measure of basis mobility used in all

patients with hip fracture in Denmark and registered in the nationwide Danish Multidis-

ciplinary Hip Fracture Database (DMHFD).

Purpose / Aim of Study:

The aim of the study was to examine the association between

the regain of pre-fracture basic mobility at the time of acute hospital discharge, and

mortality and readmission within 30 days post-discharge in patients with HF.

Materials and Methods:

Using the DMHFD we identified 5,554 patients, aged ≥ 65

years admitted with an acute HF from Dec.1, 2015 to Nov. 30, 2016, at all the 25 Dan-

ish HF operating hospitals, and with both a pre-fracture and discharge CAS score. Regain

of basis mobility was defined as achieving the same or above the total pre-fracture CAS

score at discharge.

Findings / Results:

Only 37.9% (n=2,107) patients regained their pre-fracture ba-

sic mobility level, and with a 30-day mortality of 2.3% (n=48) compared with 7.2%

(n=246) of patients who did not regain their pre-fracture basic mobility level (p<0.001).

Correspondingly, 14.5% (n=300) and 17.8% (n=599) of patients were readmitted

within 30 days of discharge (p<0.001). Crude and adjusted odds ratio for death and

readmission will be presented during the DOS Congress.

Conclusions:

In this large national HF registry study of 5,554 Danish patients we found

that the regain of pre-fracture basic mobility level before acute hospital discharge was

strongly related to both 30-day mortality and readmission. This indicates the importance

of basic mobility independence as a primary early rehabilitation goal, and that the CAS

could be considered as an outcome parameter in other HF registries.

No conflicts of interest reported

119.