Universität zu Köln

Abbas, S., Ihle, P., Hein, R. and Schubert, I. (2015). Comparison of rehabilitation between in-hospital geriatric departments and geriatric out-of-hospital rehabilitation facilities. Analysis of routine data using the example of femur fractures. Z. Gerontol. Geriatr., 48 (1). S. 41 - 49. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1435-1269

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Abstract

The goal of this study was to compare two types of rehabilitation for geriatric patients with femoral fracture in Germany, i.e. care in geriatric hospital departments (A 109 SGB V) and care in geriatric out-of-hospital rehabilitation facilities (A 111 SGB V). Based on claims data of the AOK (Allgemeine Ortskrankenkasse = local insurance fund) insurants with a documented hospital stay with discharge diagnosis fracture of the femur in 2007 (n = 25,954) were included and allocated to the respective form of rehabilitative health care via the OPS (German procedure classification for inpatient procedures) procedure 8-550 (A 109, n = 2028) or via admission to a geriatric rehabilitation unit (A 111, n = 4061). Excess costs (costs in the first year after fracture -aEuro parts per thousand costs in the previous year), risk of rehospitalization due to femoral fracture, and risk of death during the 1-year follow-up were compared using multivariate regression analyses. No significant differences were observed related to the outcomes rehospitalization due to femoral fracture and death. However, slight but significantly higher excess costs were observed in the health care type A 109 (compared to A 111) in patients with low excess costs. Moreover, insured members treated according to health care type A 109 were more often receiving long-term care. Further analyses including qualitative endpoints, e.g., achievements of rehabilitation aims, are warranted.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Abbas, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ihle, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hein, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schubert, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-417509
DOI:	10.1007/s00391-013-0542-4
Journal or Publication Title:	Z. Gerontol. Geriatr.
Volume:	48
Number:	1
Page Range:	S. 41 - 49
Date:	2015
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1435-1269
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HIP-FRACTURES; GERMANY; AGE Multiple languages Geriatrics & Gerontology; Gerontology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41750