Effect of pre-discharge home visits following hip fracture on readmissions

Ms Kylee Lockwood1,2, Professor Nicholas Taylor1,2, Ms Jude Boyd2, Dr  Katherine Harding1,2

1La Trobe University, Melbourne, Australia, 2Eastern Health, Melbourne, Australia

 

Aim

To investigate the rate of readmissions to hospital in the 12 months following hip fracture in patients receiving a pre-discharge home visit by an occupational therapist compared to those who did not receive a home visit.

Method

A retrospective cohort study was conducted with patients admitted to a large health service following hip fracture over a 12 month period. Routinely collected patient medical record data were analysed to determine the rate of readmissions to hospital in the 12 month period following discharge in patients receiving a home visit compared to patients who did not receive a home visit.

Results

There were 268 patients discharged over the 12 month period who met the inclusion criteria. Of these patients, 157 returned to a private residence. Twelve patients were readmitted within 30 days post discharge and 49 patients were readmitted within 12 months. Patients were 4 times more likely to be admitted for medical versus surgical complications. There was no difference in readmission rates between those who received a home visit (n=55) and those that did not (n=102) (incidence rate ratio=1.02; 95% CI 0.31-3.38).

Significance of the findings to allied health

After hip fracture transition back into the community is often difficult and hospital readmission rates are high. Home visits by occupational therapists aim to facilitate a safe and successful discharge from hospital. Home visits were not associated with a reduction in readmission to hospital in patients following hip fracture. Home visits may have other benefits not investigated in this study.