Impact of prospective payment and discharge location on the outcome of hip fracture
Journal of General Internal MedicinePublished 1 September 1989
Meghan B. Gerety, Vivian Soderholm-Difatte, Carol Hutner Winograd
Citations61
SJR quartileQ1
SJR score1.99
SNIP1.71
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TL;DR
The PPS did not have a significant long-term impact on hip fracture outcome, and post-hospital care may be of crucial importance to the future quality of life of hip fracture patients.
Abstract
The PPS did not have a significant long-term impact on hip fracture outcome. Post-hospital care may be of crucial importance to the future quality of life of hip fracture patients.
Keywords
Medicine
Journal of Bone and Joint SurgerySurvival and ambulation following hip fracture.
376 Citations1978Charles W. Miller
A retrospective analysis of the outcomes in 360 patients with fractures of the hip showed return to preinjury ambulatory status in 51 per cent and factors that increased the probability of death and non-ambulation included advanced age, preoperative presence of cerebral dysfunction, and male sex.
Journal of Bone and Joint SurgeryThe repair of chronic massive ruptures of the rotator cuff of the shoulder by use of a freeze-dried rotator cuff.
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In sixteen patients with massive tears of the rotator cuff of the shoulder, bridging of the defect with a freeze-dried graft of a rotators cuff from a cadaver produced a satisfactory repair in all cases.
New England Journal of MedicineThe Care of Elderly Patients with Hip Fracture
234 Citations1988John F. Fitzgerald, Patricia Moore +1 more
Hospitals have reduced the amount of care given to patients with hip fracture and have shifted much of the rehabilitation burden to nursing homes since the implementation of PPS in 1983.
JAMAChanging Patterns of Hip Fracture Care Before and After Implementation of the Prospective Payment System
151 Citations1987John F. Fitzgerald
The hypothesis that since the implementation of the prospective payment system (PPS), elderly patients hospitalized for hip fractures receive shorter, less care-intensive hospitalizations and are more frequently institutionalized is tested.
American Journal of Public HealthMeasuring Severity of Illness: Comparisons Across Institutions
107 Citations1983Susan D. Horn
Journal of the American Geriatrics SocietyIatrogenic Disease in Hospitalized Elderly Veterans
75 Citations1982Dennis W. Jahnigen, Cindy Hannon +2 more
The disproportionately high incidence of iatrogenic disease in hospital patients over the age of 65 is confirmed, and several of these complications are amenable to control.
Clinical Orthopaedics and Related ResearchThe National Cost of Acute Care of Hip Fractures Associated with Osteoporosis
65 Citations1980Richard A. Owen, L. Joseph Melton +2 more
It can be estimated that osteoporosis leads to over 150,000 hip fractures annually, with a short-term direct cost in excess of one billion dollars, when applied to the United States population.
Acta Orthopaedica ScandinavicaRehabilitation After Hip Fracture in the Elderly
52 Citations1979Leif Ceder, L. Ekelund +4 more
Patients coming from their own homes had a significantly better prognosis in terms of survival, mobility and ability to cope with activities of daily living (ADL), however, patients returning home needed increased domestic help.
Journal of the American Geriatrics SocietyThe Medicare Prospective Payment System and the Care of the Frail Elderly
24 Citations1984Robert A. Berenson, L. Gregory Pawlson
The authors conclude that in its present form, the DRG system may systematically undercompensate hospitals for treating the frail elderly and result in attempts by some hospitals to reduce or avoid altogether programs in geriatric medicine and admissions of frail elderly persons.
