What Happens to XXXX When They Fracture Their Hip During a Skilled Nursing Facility Stay?

@entity1 @entity173 @entity204 @entity1957
OBJECTIVES: To characterize outcomes of @entity1 experiencing a fall and subsequent @entity173 while in a nursing home receiving @entity1957 ( @entity1957 ) services. DESIGN: Observational study. @entity1 : Short-stay fee-for-service Medicare beneficiaries who experienced their first @entity173 during an @entity1957 stay. MEASUREMENTS: Outcomes measured in the 90  days after the @entity173 hospitalization included community discharge (with a stay in the community <30  days), successful community discharge (in the community >= 30  days), @entity204 , and institutionalization. RESULTS: Between 1999 and 2007, 27,305 @entity173 occurred among short-stay nursing home @entity1 receiving @entity1957 care. After surgical repair of the @entity173 , 83.9% of these @entity1 were discharged from the hospital back to an @entity1957 , with most (99%) returning to the facility where the @entity173 occurred. In the first 90  days after hospitalization, 24.1% of @entity1 died, 7.3% were discharged to the community but remained fewer than 30  days, 14.0% achieved successful community discharge, and 54.6% were still in a health care institution with almost 46.4% having transitioned to long-term care. CONCLUSION: @entity1957 care aims to maximize the short-stay @entity1 's independence and facilitate a safe community transition. However, experiencing a fall and @entity173 during the @entity1957 stay was a sentinel event that limited the achievement of this goal. There is an urgent need to ensure the integration of fall prevention into the @entity1 's plan of care. Further, falls among @entity1957 @entity1 may serve as indicator of quality, which consumers and payers can use to make informed health care decisions.
