Diabetes comorbidity and age influence rehabilitation outcomes after hip fracture

Timothy A. Reistetter, James E. Graham, Anne Deutsch, Samuel J. Markello, Carl V. Granger, Kenneth J. Ottenbacher

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

OBJECTIVE - To examine the influence of diabetes on length of stay (LOS), functional status, and discharge setting in individuals with hip fracture. RESEARCH DESIGN AND METHODS - This work included secondary analyses of 79,526 individuals from 915 rehabilitation facilities in the U.S. Patients were classified into three groups using the Centers for Medicare and Medicaid Services comorbidity structure: individuals without diabetes (77.0%), individuals with non-tier diabetes (18.3%), and individuals with tier diabetes (4.7%). RESULTS - Mean age was 79.4 years (SD 9.6), and mean LOS was 13.3 days (SD 5.3). Tier diabetes was associated with longer LOS, lower functional status ratings, and reduced odds of discharge home when compared with individuals with no diabetes and non-tier diabetes. Statistically significant interactions (P < 0.05) were found between age and diabetes classification for LOS, functional status, and discharge setting. CONCLUSIONS - The impact of diabetes on recovery after hip fracture is moderated by age.

Original languageEnglish (US)
Pages (from-to)1375-1377
Number of pages3
JournalDiabetes care
Volume34
Issue number6
DOIs
StatePublished - Jun 1 2011

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

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    Reistetter, T. A., Graham, J. E., Deutsch, A., Markello, S. J., Granger, C. V., & Ottenbacher, K. J. (2011). Diabetes comorbidity and age influence rehabilitation outcomes after hip fracture. Diabetes care, 34(6), 1375-1377. https://doi.org/10.2337/dc10-2220