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Effect of Race/ethnicity, Insurance Status, and Area Deprivation on Hip Fracture Outcomes Among Older Adults in the United States

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  • Chiyoung Lee
  • Eleanor Schildwachter McConnell
  • Sijia Wei
  • Tingzhong (Michelle) Xue
  • Hideyo Tsumura
  • Wei Pan

Abstract

This retrospective cohort study used electronic health records to explore the effect of race/ethnicity, insurance status, and area deprivation on post-discharge outcomes in older patients undergoing hip fracture surgery between 2015 and 2018 ( N  = 1,150). Inverse probability of treatment weight-adjusted regression analysis was used to identify the effects of the predictors on outcomes. White patients had higher 90- and 365-day readmission risks than Black patients and higher all-period readmissions than the Other racial/ethnic (Hispanic, Asian, American Indian, and Multicultural) group ( p  

Suggested Citation

  • Chiyoung Lee & Eleanor Schildwachter McConnell & Sijia Wei & Tingzhong (Michelle) Xue & Hideyo Tsumura & Wei Pan, 2022. "Effect of Race/ethnicity, Insurance Status, and Area Deprivation on Hip Fracture Outcomes Among Older Adults in the United States," Clinical Nursing Research, , vol. 31(3), pages 541-552, March.
    • Handle: RePEc:sae:clnure:v:31:y:2022:i:3:p:541-552
    DOI: 10.1177/10547738211061216
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    References listed on IDEAS

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    1. Heidi Ledford, 2019. "Millions of black people affected by racial bias in health-care algorithms," Nature, Nature, vol. 574(7780), pages 608-609, October.
    2. Amit Kumar & Momotazur Rahman & Amal N Trivedi & Linda Resnik & Pedro Gozalo & Vincent Mor, 2018. "Comparing post-acute rehabilitation use, length of stay, and outcomes experienced by Medicare fee-for-service and Medicare Advantage beneficiaries with hip fracture in the United States: A secondary a," PLOS Medicine, Public Library of Science, vol. 15(6), pages 1-14, June.
    3. Maina, Ivy W. & Belton, Tanisha D. & Ginzberg, Sara & Singh, Ajit & Johnson, Tiffani J., 2018. "A decade of studying implicit racial/ethnic bias in healthcare providers using the implicit association test," Social Science & Medicine, Elsevier, vol. 199(C), pages 219-229.
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    1. Chiyoung Lee & Sijia Wei & Eleanor S. McConnell & Hideyo Tsumura & Tingzhong (Michelle) Xue & Wei Pan, 2024. "Comorbidity Patterns in Older Patients Undergoing Hip Fracture Surgery: A Comorbidity Network Analysis Study," Clinical Nursing Research, , vol. 33(1), pages 70-80, January.

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