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Care of the older person
Cohort study
Link between length of hospital stay and mortality among hip fracture patients varies across healthcare systems
  1. Søren Paaske Johnsen1,
  2. Pia Kjær Kristensen1,2
  1. 1Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark
  2. 2Department of Orthopedic Surgery, Regional Hospital Horsens, Horsens, Denmark
  1. Correspondence to: Dr Søren Paaske Johnsen, Department of Clinical Epidemiology, Aarhus University Hospital, Olof Palmes Allé 43-45, Aarhus 8200, Denmark; spj{at}clin.au.dk

https://doi.org/10.1136/eb-2016-102348

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    Commentary on: Nikkel LE, Kates SL, Schreck M, et al. Length of hospital stay after hip fracture and risk of early mortality after discharge in New York State: retrospective cohort study. BMJ 2015;351:h6246.OpenUrlAbstract/FREE Full Text

    Implications for practice and research

    • The link between length of stay and mortality is complex and appears to differ across healthcare settings.

    • More insight into the potential causal mechanisms linking length of stay and mortality is needed.

    Context

    Hip fracture is the most serious complication related to osteoporosis both from a patient and societal perspective due to the high case-fatality rate and healthcare costs.1 Since length of stay plays a pivotal role for the healthcare costs, reducing the length of stay has become an objective across healthcare systems. However, the aim of lowering the costs of hospital-based care must be balanced against the clinical needs of …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.