Loss to follow-up after surgery in patients with hip fractures
Background: Non-attendance with scheduled postoperative follow-up visits remains a common problem in orthopaedic clinical researches. The goal of this study was to determine the risk factors for loss to follow-up of hip-fracture patients postoperatively. Methods: A 1-year postoperatively retrospective analysis was conducted on patients who underwent surgery for hip-fractures between January 2017 and December 2018. According to whether they finished the appointed follow-up schedule, the patients
... edule, the patients were divided into two groups: LTFU Group (Follow-up loss group) and FU Group (Follow-up group). Electronic Medical Records (EMR) was examined to identify the patients' variables of interest and telephone or text message interviews were attempted on those who didn't return for follow-up to determine the reasons for loss to follow-up. The baseline characteristics between the 2 groups were compared and the statistical differences were analyzed by logistic regression. Results: 1041 patients met the inclusion criteria were included in this study, of which 212 (20.37%) were lost to follow-up at 1 year postoperatively. The logistic regression analysis showed that old age at surgery, fracture type, distance to hospital, HA surgery and patients transport to hospital by urban-rural public traffic or bus were found to be risk factors for noncompliance with the follow-up visit. As for the reasons for loss to follow-up in in LTFU Group, 75 patients (35.4%) claimed symptoms improvement, 43 (20.3%) cited difficulties of transportation to hospital, 23 (10.8%) chose other health care institutions, and 57 (26.9%) couldn't travel to hospital alone. Other reasons including thinking follow-up was unnecessary (n=4, 1.8%), no spare time (n=5, 2.4%) and financial problems (n=5, 2.4%). Conclusion: Loss to follow-up was common in patients with hip-fracture postoperatively. Our study suggested advanced age, difficult transport, long distance, fracture type and surgical procedures were risk factors for noncompliance.