Days at Home After Hip Fracture Among Older Adults With and Without Dementia
Main finding · Days at home among 1-year survivors, adjusted meanResult — go to the resultDifference 53.9 fewer daysAuthors' conclusion
In this cohort study, older adults with dementia had shortened survival and more time in skilled nursing or long-term care facilities after hip fracture than those without dementia.
Study context
- Population
- Community-dwelling older adults (aged ≥65 years) hospitalized for hip fracture, Medicare beneficiaries 2012–2021 (mean [SD] age 82.5 [8.1] years; 70.4% female)
- Participants
- 1,756,388 Medicare beneficiaries
- Exposure
- Older adults with dementia vs without dementia after hip fracture hospitalization
- Dementian = 513,698
- Outcome
- Days at home and survival
- Follow-up
- 30 days, 6 months, and 1 year
Methodological detailsnational administrative data, 100% of Medicare beneficiaries
- National administrative data
- 100% of Medicare beneficiaries
Main finding
As reported in the abstract
Days at home among 1-year survivors, adjusted mean
Difference
53.9 fewer days
By group
Observational data: associations, not effects.
Further findings
Survival (days alive) in year after hip fracture, adjusted mean
difference 50.3 earlier
Days in skilled nursing facilities among 1-year survivors, adjusted mean
Days in long-term care facilities among 1-year survivors, adjusted mean
Factors associated with fewest days at home among those with dementia · 1 year
- Medicaid eligibility, rural residence, geographic region, and age ≥85 years associated with the fewest days at home
Original publication
Days at Home After Hip Fracture Among Older Adults With and Without Dementia. JAMA Netw Open. Published 1 June 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →