Tyler Caton’s research while affiliated with Dell Children's Medical Center of Central Texas and other places

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Publications (1)


Longer Length of Stay Increases 1-year Readmission Rate in Patients Undergoing Hip Fracture Surgery
  • Article

November 2018

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19 Reads

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5 Citations

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Tyler Caton

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Hugo B Sanchez

Background: Proximal femur fractures are prevalent among the elderly and associated with substantial morbidity, mortality, and early readmission. Early readmission is gaining popularity as a measure of quality of hospital care and can lower reimbursement. A better understanding of the patient and treatment characteristics associated with readmission may help inform program improvement initiatives. This study tested the primary null hypothesis that length of stay is not associated with higher rates of readmission within 30 days and 1 year in patients having operative treatment of a proximal femur fracture, accounting for discharge destination and other factors. Methods: We performed a secondary analysis on a database of 1,061 adult patients, age 55 years or older, admitted for treatment of a proximal femoral fracture in an urban level 2 trauma center. Multivariable logistic and linear regression models were created to account for the influence of age, sex, race, BMI, American Society of Anesthesiologists score (ASA), fracture type (AO/OTA), fixation type, operating surgeon, operative duration, and discharge destination. Results: In multivariable logistic regression analysis, treatment by surgeon 4 was independently associated with a lower 30-day readmission rate. Higher one-year readmission rate was associated with a longer length of stay, ASA class 3, 4 and 5. Conclusion: The observation that patients cared for by specific surgeons are more likely to experience readmission within one year of surgery for a fracture of the proximal femur, suggests that program improvements to identify and disseminate best practices might reduce readmission rates. Level of evidence: III.

Citations (1)


... Similar to other studies on patients with PFFs, we observed a female predominance. [15][16][17][18][19][20][21] With a mean of 13.5 days, LOS was longer than reported in other cohorts, ranging between a mean of 2.5 days 17 and 8.9 days. 15,16,[18][19][20] This is most likely attributable to peculiarities of the Austrian healthcare system as already outlined above, with a combination of a strong inpatient sector and a less well developed secondary care facilities eventually reducing the pressure for (early) patient discharge or transfer to remobilization facilities. ...

Reference:

30-day and one-year readmission rate in 11,270 patients with surgical treatment for proximal femoral fractures across Austria
Longer Length of Stay Increases 1-year Readmission Rate in Patients Undergoing Hip Fracture Surgery
  • Citing Article
  • November 2018