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:

• JAMA Network Open
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