Are Older Adults With Hip Fractures Disadvantaged in Level 1 Trauma Centers?
Metcalfe D, Olufajo OA, Zogg CK, Gates JD, Weaver MJ, Harris MB, Rios-Diaz AJ, Haider AH, Salim A. Are Older Adults With Hip Fractures Disadvantaged in Level 1 Trauma Centers? Medical Care 2016, 54: 616-622. PMID: 26974676, DOI: 10.1097/mlr.0000000000000535.Peer-Reviewed Original ResearchConceptsLevel 1 trauma centerHigh-level trauma centersTrauma centerNontrauma centersHip fractureOlder adultsVenous thromboembolismPatient groupLevel 2 trauma centerIsolated hip fractureRetrospective cohort studyWorse clinical outcomesLength of stayLarge regional hospitalInhospital mortalityUnderwent surgeryUnplanned readmissionCohort studySurgical treatmentClinical outcomesInterhospital transferInpatient stayRegional hospitalHigher oddsBetter outcomesHospital case volume and outcomes for proximal femoral fractures in the USA: an observational study
Metcalfe D, Salim A, Olufajo O, Gabbe B, Zogg C, Harris MB, Perry DC, Costa ML. Hospital case volume and outcomes for proximal femoral fractures in the USA: an observational study. BMJ Open 2016, 6: e010743. PMID: 27056592, PMCID: PMC4838676, DOI: 10.1136/bmjopen-2015-010743.Peer-Reviewed Original ResearchConceptsHigh-volume hospitalsHip fractureObservational studyIsolated hip fractureRate of pneumoniaHip fracture careHospital case volumeLow-volume hospitalsProximal femoral fracturesLength of stayPatient safety imperativeHospital mortalityVenous thromboembolismSecondary outcomesFracture careClinical outcomesFemoral fracturesAcute hospitalsPatient outcomesInclusion criteriaPressure ulcersCase volumeHospitalOlder adultsOutcomes