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

Hommel, Ami LU ; Ulander, Kerstin LU ; Björkman Björkelund, Karin LU ; Norrman, Per Ola LU ; Wingstrand, Hans LU and Thorngren, Karl-Göran LU (2008) In Injury 39. p.1164-1174
Abstract
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... (More)
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). (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Injury
volume
39
pages
1164 - 1174
publisher
Elsevier
external identifiers
  • wos:000259943000011
  • pmid:18555253
  • scopus:50249110908
ISSN
1879-0267
DOI
10.1016/j.injury.2008.01.048
language
English
LU publication?
yes
id
b8bb1517-be5f-414f-ba74-3a4e38a9ff1a (old id 1168786)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18555253?dopt=Abstract
date added to LUP
2008-07-02 15:05:13
date last changed
2017-04-23 04:37:22
@article{b8bb1517-be5f-414f-ba74-3a4e38a9ff1a,
  abstract     = {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&lt;0.001). Significantly more cases of osteosynthesis for femoral neck fracture were reoperated compared with all other types of surgery (p&lt;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&lt;0.001).},
  author       = {Hommel, Ami and Ulander, Kerstin and Björkman Björkelund, Karin and Norrman, Per Ola and Wingstrand, Hans and Thorngren, Karl-Göran},
  issn         = {1879-0267},
  language     = {eng},
  pages        = {1164--1174},
  publisher    = {Elsevier},
  series       = {Injury},
  title        = {Influence of optimised treatment of people with hip fracture on time to operation, length of hospital stay, reoperations and mortality within 1 year.},
  url          = {http://dx.doi.org/10.1016/j.injury.2008.01.048},
  volume       = {39},
  year         = {2008},
}