Emergency hip replacement care trajectories in the French elderly

Trajectoires de soins suite à une chirurgie de prothèse de hanche en urgence chez les personnes âgées en France

Souleymane Kane Diallo, Carine Milcent (), Laëtitia Chossegros and Véronique Sauvadet-Chouvy
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Souleymane Kane Diallo: PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement - ENPC - École nationale des ponts et chaussées - IP Paris - Institut Polytechnique de Paris
Carine Milcent: PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement - ENPC - École nationale des ponts et chaussées - IP Paris - Institut Polytechnique de Paris
Laëtitia Chossegros: ATIH - Agence Technique de l'Information sur l'Hospitalisation - ATIH
Véronique Sauvadet-Chouvy: ARS - Agence régionale de santé Auvergne Rhône Alpes

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Abstract: This work examines the influence of socio-environmental factors on care trajectories following emergency hip replacement surgery in the French elderly patients (aged 65 and over). The objective is to highlight broader healthcare access issues and the role of socio-environmental determinants in shaping patient trajectories using data from the Medical Information Systems Program (PMSI). By distinguishing three age groups (65-74, 75-84, and 85 and over), the analysis reveals notable differences: those aged 65-74 follow three care trajectories, while five profiles emerge among patients aged 75 and over. The age of 85 is a turning point for those aged 75 and over, with a decline in admissions to follow-up care and rehabilitation (SMR), often offset by referral to nursing homes (EHPAD). In addition, the type of initial facility, the social environment (isolation, precariousness), comorbidities (diabetes, obesity), and the local healthcare provision significantly further shape these trajectories.

Keywords: Care trajectories; Total hip replacement; Elderly; Healthcare disparities; Rehabilitation (search for similar items in EconPapers)
Date: 2025-10-14
Note: View the original document on HAL open archive server: https://hal.science/hal-05566754v1
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Published in PEPR-SanteNum 2025 - Journées Annuelles du PEPR Santé Numérique, Oct 2025, Lille, France

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05566754

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