Home Care After Hip Surgery May Aid Survival, Study
MONDAY, Aug. 16 (HealthDay News) -- Providing home care to
elderly people after they've had hip surgery improves their chances
of survival, finds a new study.
Canadian researchers looked at 11,326 men and women age 65 and
older in Quebec who had partial hip surgery between 1997 and 2004.
Those who received home care after leaving the hospital were 43
percent less likely to die within three months after their surgery
than those who didn't receive home care.
But the study, published Aug. 16 in the
Canadian Medical Association Journal, found that home care was given to less than 16 percent of the elderly patients who were discharged home after partial hip surgery.
Patients who received home care were younger; more likely to
have been treated in teaching hospitals or lower volume hospitals;
and more likely to have stayed more than seven days in the
hospital. They were also more likely to have acute kidney failure
and a heart rhythm condition called atrial fibrillation.
The study also found that men were more likely than women to
die, and patients hospitalized longer had higher survival
With the exception of atrial fibrillation and acute kidney
failure, co-existing health conditions didn't seem to influence the
chances of receiving home care, the researchers said in a news
release from the publisher.
"This indicates perhaps that receiving this care may depend on availability, rather than need of the service," wrote Dr. Elham Rahme, a researcher in epidemiology at the Research Institute of the McGill University Health Center in Montreal, and colleagues in the release.
The finding has significant public health implications and
requires further investigation, the authors said.
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