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Discharge destination and patient‐reported outcomes after inpatient treatment for isolated lower limb fractures

Lara A Kimmel, Jessica Kasza and Belinda J Gabbe
Med J Aust 2021; 214 (8): . || doi: 10.5694/mja2.51011
Published online: 3 May 2021

In reply: We thank Chung and Haran for their interest in our article. We acknowledge some of the limitations they present and, in fact, did mention them in our publication.1 These include limitations inherent to registry‐based studies such as the lack of access to the precise reasons for decision making and the unmeasured confounders including psychological issues, frailty and complications among others. We believe that concerns in regards to housing and home hazards, which may be present at discharge and lead to an inpatient rehabilitation (IPR) admission, should not affect longer term outcomes at 12 months.

  • Lara A Kimmel1,2
  • Jessica Kasza2
  • Belinda J Gabbe2

  • 1 Alfred Hospital, Melbourne, VIC
  • 2 Monash University, Melbourne, VIC

Correspondence: l.kimmel@alfred.org.au

Acknowledgements: 

The Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) is funded by the Transport Accident Commission. Authors of this letter respond on behalf of all co‐authors of the original publication.

Competing interests:

No relevant disclosures.

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