Influence of optimised treatment of people with hip fracture on time to operation, length of hospital stay, reoperations and mortality within 1 year.

Ami Hommel, Kerstin Ulander, Karin Björkman Björkelund, Per Ola Norrman, Hans Wingstrand, Karl-Göran Thorngren

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskriftPeer review

101 Citeringar (SciVal)

Sammanfattning

Hip fractures are a major cause of hospital stay among the elderly, and result in increased disability and mortality. In this study from 1 April 2003 to 31 March 2004, the influence of optimised treatment of hip fracture on time to operation, length of hospital stay, reoperations and mortality within 1 year were investigated. Comparisons were made between the first 210 patients in the period and the last 210 patients, who followed the new clinical pathway introduced at the University Hospital in Lund, Sweden. Early surgery, within 24h, was not associated with reduced mortality, but was significantly associated with reduced length of stay (p<0.001). Significantly more cases of osteosynthesis for femoral neck fracture were reoperated compared with all other types of surgery (p<0.001) when reoperations with extraction of the hook pins in healed fractures were excluded. Mortality was significantly higher among men than women at 4 (p=0.025) and 12 (p=0.001) months after fracture and among medically fit patients with administrative delay to surgery compared with patients with no delay (p<0.001).
Originalspråkengelska
Sidor (från-till)1164-1174
TidskriftInjury
Volym39
DOI
StatusPublished - 2008

Bibliografisk information

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Anaesthesiology and Intensive Care (013230022), Department of Orthopaedics (Lund) (013028000), Division of Nursing (Closed 2012) (013065000)

Ämnesklassifikation (UKÄ)

  • Anestesi och intensivvård
  • Ortopedi
  • Omvårdnad

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