<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>The Archives of Bone and Joint Surgery</title>
			<title_fa></title_fa>
			<short_title>ABJS</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://abjs.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2345-4644</journal_id_issn>
			<journal_id_issn_online>2345-461X</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2021</year>
				<month>1</month>
				<day>1</day>
			</pubdate>
			<volume>9</volume>
			<number>1</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Factors for Increased Hospital Stay and Utilization of Post -Acute Care Facilities in Geriatric Orthopaedic Fracture Patients</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: This study aims to determine the extent of utilization of health care resources in the geriatric fracturepopulation and to identify factors associated with burden on resources.Methods: This is a retrospective study of 1074 patients ≥65 years admitted to an orthopaedic service for a long bonefracture between July 2014 - June 2015. Outcomes were hospital length of stay (LOS), discharge disposition, andpost-acute care facility LOS. Secondarily, readmission rates and mortality were assessed. Multivariable regression wasperformed to identify factors associated with utilization.Results: Prior to injury, 96% of patients lived at home and 50% ambulated independently. Median hospital LOS was5 days (IQR 3 – 7). 878 patients were discharged to a rehabilitation facility, with 45% being discharged Ten percent of patients (n = 108) were re-admitted year after the injury. Higher Charlson Comorbidity Index (CCI) (P=0.048), male sex (p &lt;0.001), pre-injury use of anambulatory device (P = 0.006), and undergoing surgical treatment (p &lt;0.001) were associated with longer hospitalLOS. Older age (p &lt;0.001), pre-injury ambulatory device (P=0.001), and surgery (P=0.012) were risk factors forrequiring discharge to another inpatient facility. Older age (p &lt;0.001), pre-injury ambulatory aid (p &lt;0.001), and preexistingimmobility (p &lt;0.001) were independent risk factors for LOS &gt;20 days in a rehabilitation facility. Dischargehome was not found to be associated with an increase in 1-year mortality after adjusting for age, CCI, sex, fracturelocation, and surgery (P=0.727). Shorter LOS in rehabilitation facilities (increase in 1-year mortality (P=0.520).Conclusion: Elderly fracture patients utilize a significant amount of post-acute care resources and age, CCI, surgery,fracture location, pre-injury ambulatory status, and pre-injury living status were found to be associated with the use ofthese resources.Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>bundled payments, Fracture, Geriatric, healthcare utilization, Length of stay, post-acute care, Rehabilitation</keyword>
				<start_page>70</start_page>
				<end_page>78</end_page>
				<web_url>https://abjs.mums.ac.ir/article_16546.html</web_url>
			<author_list><author>
				<first_name>Quirine M. J.</first_name>
				<middle_name></middle_name>
				<last_name>Van Der Vliet</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>q.m.j.vandervliet@gmail.com</email>
				<code>70623</code>
				<coreauthor>No</coreauthor>
				<affiliation>1 Harvard Medical School Orthopedic Trauma Initiative,
Boston, MA, USA
2 University Medical Center Utrecht, Utrecht, Netherlands</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Michael J.</first_name>
				<middle_name></middle_name>
				<last_name>Weaver</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mjweaver@partners.org</email>
				<code>70624</code>
				<coreauthor>No</coreauthor>
				<affiliation>1 Harvard Medical School Orthopedic Trauma Initiative,
Boston, MA, USA
2Brigham and Women’s Hospital, Department of
Orthopedic Surgery, Boston, MA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Koloman</first_name>
				<middle_name></middle_name>
				<last_name>Heil</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>koloman.heil@hotmail.com</email>
				<code>70625</code>
				<coreauthor>No</coreauthor>
				<affiliation>1 Harvard Medical School Orthopedic Trauma Initiative,
Boston, MA, USA
2Paracelsus Medical University, Salzburg, Austria</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Michael F.</first_name>
				<middle_name></middle_name>
				<last_name>McTague</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mmctague@bwh.harvard.edu</email>
				<code>70626</code>
				<coreauthor>No</coreauthor>
				<affiliation>1 Harvard Medical School Orthopedic Trauma Initiative,
Boston, MA, USA
2 Brigham and Women’s Hospital, Department of
Orthopedic Surgery, Boston, MA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Marilyn</first_name>
				<middle_name></middle_name>
				<last_name>Heng</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mheng@partners.org</email>
				<code>70627</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>1 Harvard Medical School Orthopedic Trauma Initiative,
Boston, MA, USA 
2 Massachusetts General Hospital, Department of
Orthopaedic Surgery, Boston, MA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>