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Emergency hip replacement care trajectories in the French elderly
[Trajectoires de soins suite à une chirurgie de prothèse de hanche en urgence chez les personnes âgées en France]

Author

Listed:
  • Souleymane Kane Diallo

    (PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement - ENPC - École nationale des ponts et chaussées - IP Paris - Institut Polytechnique de Paris)

  • Carine Milcent

    (PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement - ENPC - École nationale des ponts et chaussées - IP Paris - Institut Polytechnique de Paris)

  • Laëtitia Chossegros

    (ATIH - Agence Technique de l'Information sur l'Hospitalisation - ATIH)

  • Véronique Sauvadet-Chouvy

    (ARS - Agence régionale de santé Auvergne Rhône Alpes)

Abstract

This work examines the influence of socio-environmental factors on care trajectories following emergency hip replacement surgery in the French elderly patients (aged 65 and over). The objective is to highlight broader healthcare access issues and the role of socio-environmental determinants in shaping patient trajectories using data from the Medical Information Systems Program (PMSI). By distinguishing three age groups (65-74, 75-84, and 85 and over), the analysis reveals notable differences: those aged 65-74 follow three care trajectories, while five profiles emerge among patients aged 75 and over. The age of 85 is a turning point for those aged 75 and over, with a decline in admissions to follow-up care and rehabilitation (SMR), often offset by referral to nursing homes (EHPAD). In addition, the type of initial facility, the social environment (isolation, precariousness), comorbidities (diabetes, obesity), and the local healthcare provision significantly further shape these trajectories.

Suggested Citation

  • Souleymane Kane Diallo & Carine Milcent & Laëtitia Chossegros & Véronique Sauvadet-Chouvy, 2025. "Emergency hip replacement care trajectories in the French elderly [Trajectoires de soins suite à une chirurgie de prothèse de hanche en urgence chez les personnes âgées en France]," Post-Print hal-05566754, HAL.
    • Handle: RePEc:hal:journl:hal-05566754
    Note: View the original document on HAL open archive server: https://hal.science/hal-05566754v1
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