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Longitudinal health resource utilization associated with in-hospital delirium in patients with fragility hip fractures

Project ID: 2018-437/ TRIM 2020 0970 175 000

Principle Investigator: Raja Rampersaud

Description: Peri-operative delirium in patients with fragility hip fractures can substantially delay discharge from acute care and progression through rehabilitation, be associated with other post-operative adverse events, and potentially have profound impact on healthcare utilization. With the changing demographics and increasing volume of orthopaedic procedures, the implications of post-operative delirium are significant from both a clinical and health services perspective. However, little is known about differences in health resource utilization associated with this adverse event outside of the index hospitalization. The primairy aim of this study will be to compare differences in short and long-term post-discharge health care utilization and costs associated with peri-operative delirium, and secondaarily to examine differences in short and long-term post-discharge mortality associated with peri-operative delirium. The project team wishes to determine the share of service usage by CAHO member hospitals, how this is distributed (e.g. out-of-catchment area patients), and visually demonstrate the breadth of service throughout the province of Ontario via a heat map. We are also interested in the proportion of usage from non-CAHO member hospital catchment areas.

PIA approved: August 17, 2018