Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data

Wang, Huiting; Yamakawa, Miyae; Suto, Shunji et al.

Geriatrics and Gerontology International, 2025, 25(2), 190-205

Number of Access:1,271（2025-08-14 02:44 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/100349

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Title	Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data
Creator	ORCID 0000-0001-6117-060X 0000-0001-6117-060X CreatorName Wang, Huiting
	NRID 1000080403012 1000080403012 ORCID 0000-0002-2399-8366 0000-0002-2399-8366 researchmap permalink miyatabu miyatabu Scopus Author ID 16246912100 16246912100 CreatorName Yamakawa, Miyae
	NRID 1000030420748 1000030420748 researchmap permalink medbb medbb CreatorName Suto, Shunji
	NRID 1000070590339 1000070590339 researchmap permalink 551 551 Scopus Author ID 14041019200 14041019200 CreatorName Takeya, Yasushi
	NRID 1000080913201 1000080913201 ORCID 0000-0002-6584-5958 0000-0002-6584-5958 researchmap permalink a.ooyama a.ooyama Scopus Author ID 57203242838 57203242838 CreatorName Oyama, Asuka
	NRID 1000070163962 1000070163962 ORCID 0000-0003-1332-8286 0000-0003-1332-8286 researchmap permalink read0184998 read0184998 CreatorName Toki, Hiroshi
	NRID 1000000533853 1000000533853 ORCID 0000-0003-2610-9824 0000-0003-2610-9824 researchmap permalink yamamotor yamamotor Scopus Author ID 13104281900 13104281900 CreatorName Yamamoto, Ryohei
Subject	aged
	epidemiologic factors
	hip fractures
	patient outcome assessment
	surgery
Description	Wang H., Yamakawa M., Suto S., et al. Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data. Geriatrics and Gerontology International 25, 190 (2025); https://doi.org/10.1111/ggi.15055.
Abstract	Aim: The aim of this study was to investigate the relationship between preoperative patient factors and postoperative half-year health care utilization reflecting recovery, common complications, comorbidities, and significant health concerns, identifying strong risk and protective factors. Methods: This retrospective cohort study utilized linear, quantile, and ordinal regressions to analyze Osaka National Health Insurance data from 26 606 elderly patients who underwent hip fracture surgery between 2012 and 2018. Results: The key factors associated with multiple postoperative care utilizations (P < 0.001) included:. 1 Compared with men, women were strongly negatively correlated with postoperative length of stay (LOS) at q90, diabetes prescriptions or drip injections, while showing strong positive associations with postoperative antihypertensive, antiosteoporosis, and antidementia prescriptions. 2 Age has a strong negative correlation with antiosteoporosis or diabetes prescriptions but strongly positive associations with indwelling urinary catheters or drip injections. 3 The preoperative 1-year LOS correlated positively with the postoperative LOS or indwelling urinary catheters, and the strongest associations were observed at q25 with the postoperative LOS. It was significantly and negatively associated with antihypertensive or antidementia prescriptions. 4 Many preoperative care utilizations were positive factors, and some were strong factors at q25 of the LOS. Conclusions: Nuanced relationships between the female sex; preoperative LOS; antidementia, antiosteoporosis, antihypertensive and constipation prescriptions; indwelling catheters, and postoperative LOS were elucidated. These are key risks during shorter postoperative LOS, while male subgroups are at a higher risk during longer LOS duration. Patients with extended preoperative diabetes prescriptions or drip injections are at high risk of multiple postoperative care. Geriatr Gerontol Int 2025; 25: 190–205.
Publisher	John Wiley and Sons Inc
Source Title	Geriatrics and Gerontology International
Volume (Issue)	25(2)
Page	190-205
Date of Issued	2025-02-01
Language	English
Handle URL	https://hdl.handle.net/11094/100349
PISSN	14441586
eISSN	14470594
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1111/ggi.15055
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCTERMS.bibliographicCitation	Geriatrics and Gerontology International. 2025, 25(2), p. 190-205
DC.title	Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data
DC.creator	Wang, Huiting
	Yamakawa, Miyae
	Suto, Shunji
	Takeya, Yasushi
	Oyama, Asuka
	Toki, Hiroshi
	Yamamoto, Ryohei
DC.publisher	John Wiley and Sons Inc
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2025-02-01
DC.identifier	https://doi.org/10.1111/ggi.15055
DC.subject	aged
	epidemiologic factors
	hip fractures
	patient outcome assessment
	surgery
DC.description	Wang H., Yamakawa M., Suto S., et al. Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data. Geriatrics and Gerontology International 25, 190 (2025); https://doi.org/10.1111/ggi.15055.
DCTERMS.abstract	Aim: The aim of this study was to investigate the relationship between preoperative patient factors and postoperative half-year health care utilization reflecting recovery, common complications, comorbidities, and significant health concerns, identifying strong risk and protective factors. Methods: This retrospective cohort study utilized linear, quantile, and ordinal regressions to analyze Osaka National Health Insurance data from 26 606 elderly patients who underwent hip fracture surgery between 2012 and 2018. Results: The key factors associated with multiple postoperative care utilizations (P < 0.001) included:. 1 Compared with men, women were strongly negatively correlated with postoperative length of stay (LOS) at q90, diabetes prescriptions or drip injections, while showing strong positive associations with postoperative antihypertensive, antiosteoporosis, and antidementia prescriptions. 2 Age has a strong negative correlation with antiosteoporosis or diabetes prescriptions but strongly positive associations with indwelling urinary catheters or drip injections. 3 The preoperative 1-year LOS correlated positively with the postoperative LOS or indwelling urinary catheters, and the strongest associations were observed at q25 with the postoperative LOS. It was significantly and negatively associated with antihypertensive or antidementia prescriptions. 4 Many preoperative care utilizations were positive factors, and some were strong factors at q25 of the LOS. Conclusions: Nuanced relationships between the female sex; preoperative LOS; antidementia, antiosteoporosis, antihypertensive and constipation prescriptions; indwelling catheters, and postoperative LOS were elucidated. These are key risks during shorter postoperative LOS, while male subgroups are at a higher risk during longer LOS duration. Patients with extended preoperative diabetes prescriptions or drip injections are at high risk of multiple postoperative care. Geriatr Gerontol Int 2025; 25: 190–205.
DC.rights	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	100349
citation_title	Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data
citation_author	Wang, Huiting
	Yamakawa, Miyae
	Suto, Shunji
	Takeya, Yasushi
	Oyama, Asuka
	Toki, Hiroshi
	Yamamoto, Ryohei
citation_publisher	John Wiley and Sons Inc
citation_language	English
citation_date	2025-02-01
citation_journal_title	Geriatrics and Gerontology International
citation_volume	25
citation_issue	2
citation_firstpage	190
citation_lastpage	205
citation_doi	https://doi.org/10.1111/ggi.15055
citation_public_url	https://hdl.handle.net/11094/100349

Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data

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