Does Rehabilitation Setting Influence Risk of Institutionalization? a Register-Based Study of Hip Fracture Patients in Oslo
Fosse et al. BMC Health Services Research (2021) 21:678 https://doi.org/10.1186/s12913-021-06703-x RESEARCH ARTICLE Open Access Does rehabilitation setting influence risk of institutionalization? A register-based study of hip fracture patients in Oslo, Norway Rina Moe Fosse1*, Eliva Atieno Ambugo2, Tron Anders Moger1, Terje P. Hagen1 and Trond Tjerbo1 Abstract Background: Reducing the economic impact of hip fractures (HF) is a global issue. Some efforts aimed at curtailing costs associated with HF include rehabilitating patients within primary care. Little, however, is known about how different rehabilitation settings within primary care influence patients’ subsequent risk of institutionalization for long-term care (LTC). This study examines the association between rehabilitation setting (outside an institution versus short-term rehabilitation stay in an institution, both during 30 days post-discharge for HF) and risk of institutionalization in a nursing home (at 6–12 months from the index admission). Methods: Data were for 612 HF incidents across 611 patients aged 50 years and older, who were hospitalized between 2008 and 2013 in Oslo, Norway, and who lived at home prior to the incidence. We used logistic regression to examine the effect of rehabilitation setting on risk of institutionalization, and adjusted for patients’ age, gender, health characteristics, functional level, use of healthcare services, and socioeconomic characteristics. The models also included fixed-effects for Oslo’s boroughs to control for supply-side and unobserved effects. Results: The sample of HF patients had a mean age of 82.4 years, and 78.9 % were women. Within 30 days after hospital discharge, 49.0 % of patients received rehabilitation outside an institution, while the remaining 51.0 % received a short-term rehabilitation stay in an institution.
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