JAMDA
Volume 11, Issue 2 , Pages 116-119 , February 2010

All-Cause Mortality Rates of Hip Fractures Treated in the VHA: Do They Differ from Medicare Facilities?

  • William A. Lapcevic, MSST, MPH

      Affiliations

    • HSR&D/RR&D Research Center of Excellence, Maximizing Rehabilitation Outcomes, Tampa, FL
    • University of South Florida, College of Public Health, Department of Epidemiology and Biostatistics Tampa, FL
    • ,
  • Dustin D. French, PhD

      Affiliations

    • Roudebush VA Center of Excellence on Implementing Evidence Based Practice, Regenstrief Institute, and the Indiana University School of Medicine, Department of General Internal Medicine and Geriatrics, Indianapolis, IN
    • Corresponding Author InformationAddress correspondence to Dustin D. French, PhD, Roudebush VA Center of Excellence on Implementing Evidence Based Practice, Regenstrief Institute, VA Medical Center, HSR&D (11H), 1481 West 10th Street, Indianapolis, IN 46202.
    • ,
  • Robert R. Campbell, JD, MPH, PhD

      Affiliations

    • HSR&D/RR&D Research Center of Excellence, Maximizing Rehabilitation Outcomes, Tampa, FL

References 

  1. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) [online]. 2006. Available at: www.cdc.gov/ncipc/wisqars. Accessed January 15, 2007.
  2. Hausdorff JM, Rios DA, Edelber HK. Gait variability and fall risk in community-living older adults: A 1–year prospective study. Arch Phys Med Rehabil. 2001;82:1050–1056
  3. Hornbrook MC, Stevens VJ, Wingfield DJ, et al. Preventing falls among community-dwelling older persons: Results from a randomized trial. Gerontologist. 1994;34:16–23
  4. Alexander BH, Rivara FP, Wolf ME. The cost and frequency of hospitalization for fall-related injuries in older adults. Am J Public Health. 1992;82:1020–1023
  5. Sterling DA, O'Connor JA, Bonadies J. Geriatric falls: Injury severity is high and disproportionate to mechanism. J Trauma. 2001;50:116–119
  6. French DD, Werner DC, Campbell RR, et al. A multivariate fall risk assessment model for VHA nursing homes using the minimum data set. J Am Med Dir Assoc. 2007;8:115–122
  7. US Bureau of the Census. Population Projections Program, Population Division, Washington, D.C. 2004. Available at: www.census.gov/population/www/projections/popproj.html. Accessed July 7, 2009.
  8. Hall SE, Williams JA, Senior JA, et al. Hip fracture outcomes: Quality of life and functional status in older adults living in the community. Aust N Z J Med. 2000;30:327–332
  9. Morley JE. Falls and fractures. J Am Med Dir Assoc. 2007;8:276–278
  10. Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006;17:1726–1733
  11. Hayes WC, Myers ER, Morris JN, et al. Impact near the hip dominates fracture risk in elderly nursing home residents who fall. Calcif Tissue Int. 1993;52:192–198
  12. Bergström U, Björnstig U, Stenlund H, et al. Fracture mechanisms and fracture pattern in men and women aged 50 years and older: A study of a 12-year population-based injury register. Osteoporos Int. 2008;19:1267–1273
  13. Abrahamsen B, van Staa T, Ariely R, et al. Excess mortality following hip fracture: A systematic epidemiological review. Osteoporos Int. 2009;May 7 [Epub ahead of print].
  14. Duque G, Mallet L, Roberts A, et al. To treat or not to treat, that is the question: Proceedings of the Quebec symposium for the treatment of osteoporosis in long-term care institutions, Saint-Hyacinthe, Quebec, November 5, 2004. J Am Med Dir Assoc. 2007;8:e67–e73
  15. Zarowitz BJ, Stefanacci R, Hollenack K, O'Shea T. The application of evidence-based principles of care in older persons (issue 1): Management of osteoporosis. J Am Med Dir Assoc. 2007;8:e51–e57
  16. Shen Y, Hendricks A, Zhang S, Kazis LE. VHA enrollees' health care coverage and use of care. Med Care Res Rev. 2003;60:253–267
  17. Hynes DM, Koelling K, Stroupe K, et al. Veterans' access to and use of Medicare and Veterans Affairs health care. Med Care. 2007;45:214–223
  18. Bass E, French DD, Bradham DD, Rubenstein LZ. Risk-adjusted mortality rates of elderly veterans with hip fractures. Ann Epidemiol. 2007;17:514–519
  19. VA Information Resource Center (VIReC). Available at: http://www.virec.research.va.gov/. Accessed May 4, 2009.
  20. French DD, Campbell R, Spehar A, Angaran DM. Benzodiazepines and injury: A risk adjusted model. Pharmacoepidemiol Drug Saf. 2005;14:17–24
  21. French DD, Chirikos TN, Spehar A, et al. Effect of concomitant use of benzodiazepines and other drugs on the risk of injury in a veterans population. Drug Saf. 2005;28:1141–1150
  22. The Agency for Healthcare Research and Quality. Comorbidity Software. Available at: http://www.hcup-us.ahrq.gov/toolssoftware/comorbidity/comorbidity.jsp#overview. Accessed July 15, 2009.
  23. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36:8–27
  24. French DD, Campbell RR, Rubenstein LZ. Long-stay nursing home residents' hospitalizations in the VHA: The potential impact of aligning financial incentives on hospitalizations. J Am Med Dir Assoc. 2008;9:499–503
  25. Bass E, French DD, Bradham DD. A national perspective of Medicare expenditures for elderly veterans with hip fractures. J Am Med Dir Assoc. 2008;9:114–119

 The authors have no conflicts of interest pertaining to this article.

PII: S1525-8610(09)00256-4

doi: 10.1016/j.jamda.2009.07.009

JAMDA
Volume 11, Issue 2 , Pages 116-119 , February 2010

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