title: Predicting discharge location of hip fracture patients; the new discharge of hip fracture patients score.
abstract: OBJECTIVE
  This paper reports on the development and validity of a new instrument, called the discharge of hip fracture patients score (DHP), that predicts at admission the discharge location in patients living in their own home prior to hip fracture surgery.
  
  
  METHODS
  A total of 310 patients aged 50 years and above were included. Risk factors for discharge to an alternative location (DAL) were analysed with a multivariable regression analysis taking the admission variables into account with different weights based on the estimates. The score ranged from 0-100 points. The cut-off point for DAL was calculated using a ROC analysis. Reliability of the DHP was evaluated.
  
  
  RESULTS
  Risk factors for DAL were higher age, female gender, dementia, absence of a partner and a limited level of mobility. The cut-off point was set at 30 points, with a sensitivity of 83.8%, a specificity of 64.7% and positive predictive value of 79.2%.
  
  
  CONCLUSIONS
  The DHP is a valid, simple and short instrument to be used at admission to predict discharge location of hip fracture patients.
authors.affiliation: Department of Orthopaedic Surgery, Leiden University Medical Centre, P.O. Box 9600, 2300, RC, Leiden, The Netherlands. ajhvochteloo@hotmail.com
authors.forename: Anne Jochem Hendrik
authors.initials: AJ
authors.lastname: Vochteloo
authors.forename: Wim Eduard
authors.initials: WE
authors.lastname: Tuinebreijer
authors.forename: Andrea Britta
authors.initials: AB
authors.lastname: Maier
authors.forename: Rob Gerardus Henricus Hubertus
authors.initials: RG
authors.lastname: Nelissen
authors.forename: Rolf Melchior
authors.initials: RM
authors.lastname: Bloem
authors.forename: Peter
authors.initials: P
authors.lastname: Pilot
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D003704:Dementia / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006305:Health Status Indicators; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data*; D010351:Patient Discharge / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D015995:Prevalence; D012044:Regression Analysis; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012737:Sex Factors