Language Preference, Surgical Wait Time, and Outcomes Among Older Adults With Hip Fracture

作者：Christina Reppas‐Rindlisbacher, Alexa Boblitz, Sho Podolsky, Robert Fowler, Lauren Lapointe‐Shaw, Kathleen Sheehan, Thérèse A. Stukel, Nathan M. Stall, Paula A. Rochon · 发表于：JAMA Network Open · 年份：2024 · DOI：10.1001/jamanetworkopen.2024.48010 · 被引用次数：11 · 研究领域：Interpreting and Communication in Healthcare、Neurobiology of Language and Bilingualism、Language Development and Disorders

Importance: Patients with a non-English language preference served within English-dominant health care settings are at increased risk of adverse events that may be associated with communication barriers and inequitable access to care. Objective: To investigate the association of non-English language preference with surgical wait time and postoperative outcomes in older patients undergoing hip fracture repair. Design, Setting, and Participants: This population-based, retrospective cohort study was conducted using linked databases to measure surgical wait time and postoperative outcomes among older adults (aged ≥66 years) in Ontario, Canada, who underwent hip fracture surgery between January 1, 2017, and December 31, 2022. Propensity-based overlap weighting accounting for baseline patient characteristics was used to compare primary and secondary outcomes. Exposure: Non-English language preference. Main Outcomes and Measures: The primary outcome was surgical delay beyond 24 hours. Secondary outcomes included time to surgery, surgical delay beyond 48 hours, postoperative medical complications, length of stay, discharge destination, 30-day mortality, and 30-day hospital readmission. Results: Among 35 238 patients who underwent hip fracture surgery, 28 815 individuals (81.8%) were English speakers (mean [SD] age, 84.4 [8.0] years; 19 965 female [69.3%]) and 6423 individuals (18.2%) were non-English speakers (mean [SD] age, 85.5 [7.0] years; 4556 female [70.9%]). The median (IQR) wa...