title: [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].
abstract: OBJECTIVE
  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 (§109 SGB V) and care in geriatric out-of-hospital rehabilitation facilities (§111 SGB V).
  
  
  METHODS
  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 (§109, n=2028) or via admission to a geriatric rehabilitation unit (§111, n=4061). Excess costs (costs in the first year after fracture--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.
  
  
  RESULTS
  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 §109 (compared to §111) in patients with low excess costs. Moreover, insured members treated according to health care type §109 were more often receiving long-term care.
  
  
  CONCLUSIONS
  Further analyses including qualitative endpoints, e.g., achievements of rehabilitation aims, are warranted.
authors.affiliation: PMV Forschungsgruppe an der Klinik und Poliklinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Universität zu Köln, Herderstr. 52-54, 50931, Köln, Deutschland, sascha.abbas@uk-koeln.de.
authors.forename: S
authors.initials: S
authors.lastname: Abbas
authors.forename: P
authors.initials: P
authors.lastname: Ihle
authors.forename: R
authors.initials: R
authors.lastname: Hein
authors.forename: I
authors.initials: I
authors.lastname: Schubert
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000191:economics*; D005260:Female; D005264:Femoral Fractures / Q000191:economics* / Q000401:mortality / Q000534:rehabilitation*; D005858:Germany; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006299:Health Services for the Aged; D006748:Hospital Departments / Q000191:economics; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D015995:Prevalence; D012047:Rehabilitation Centers / Q000191:economics*; D012307:Risk Factors; D015996:Survival Rate