‘Days at Home’ After Hip Fracture Signals Social Risk - Summary - MDSpire

‘Days at Home’ After Hip Fracture Signals Social Risk

  • By

  • Kathryn Wighton

  • February 12, 2026

  • 3 min

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Objective:

To evaluate postfracture recovery across neighborhood deprivation levels in older adults treated surgically for hip fracture.

Approach:
    Key Findings:
    • Patients from the most disadvantaged neighborhoods spent nearly 23 fewer days at home in the year following a hip fracture.
    • Those in the most deprived neighborhoods spent 8.5% fewer days at home compared to the least deprived.
    • Patients in moderately deprived neighborhoods spent 5% fewer days at home.
    Interpretation:

    Neighborhood-level social risk is significant for discharge planning and postacute care decisions for older adults recovering from hip fractures.

    Limitations:
    • Administrative claims data do not capture individual-level social factors affecting recovery.
    • Exclusion of Medicare Advantage beneficiaries limits generalizability.
    • Use of the Area Deprivation Index complicates disentangling neighborhood effects from socioeconomic status.
    Conclusion:

    Future studies should develop interventions to help patients overcome neighborhood barriers to aging in place after hip fracture.

    Sources:

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