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Femoral neck fractures in Lithuania and Sweden. The differences in care and outcome

Valaviciene, Rasa; Macijauskiene, Jurate; Tarasevicius, Sarunas; Smailys, Alfredas; Dobozinskas, Paulius and Hommel, Ami LU (2012) In International Orthopaedics 36(8). p.1681-1686
Abstract
Hip fractures constitute a serious and common health problem from both individual and public health perspectives. Unified data collection and comparison between countries is recognised as an effective tool for care improvements. However, the variation in patients' demography, treatment methods and other local cultural aspects in different countries should be considered. The aim of our study was to compare femoral neck fracture patients treated in Kaunas and Lund, concerning functional outcome and quality of life. We investigated 99 patients treated by arthroplasty in Kaunas Clinics and 117 patients in Lund University Hospital. Patients were investigated according to the National Swedish Hip Fracture Register model and were followed up for... (More)
Hip fractures constitute a serious and common health problem from both individual and public health perspectives. Unified data collection and comparison between countries is recognised as an effective tool for care improvements. However, the variation in patients' demography, treatment methods and other local cultural aspects in different countries should be considered. The aim of our study was to compare femoral neck fracture patients treated in Kaunas and Lund, concerning functional outcome and quality of life. We investigated 99 patients treated by arthroplasty in Kaunas Clinics and 117 patients in Lund University Hospital. Patients were investigated according to the National Swedish Hip Fracture Register model and were followed up for a period of four months after the injury. The patient's place of residence, mobility, complaints of pain and additional hospital stay were recorded. The EQ-5D questionnaire was used to evaluate quality of life. Patients in Kaunas were significantly younger, had lower ASA grade and were more mobile before trauma and at four moths follow-up. However, when comparing quality of life at four months follow-up between the institutions, Lund patients reported significantly better self care, felt less pain and discomfort, and had less symptoms of anxiety and depression. The difference observed in quality of life rating between institutions might be related to local cultures of the countries and should be considered when comparing the data. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Orthopaedics
volume
36
issue
8
pages
1681 - 1686
publisher
Springer
external identifiers
  • wos:000307246200021
  • scopus:84866735560
ISSN
1432-5195
DOI
10.1007/s00264-012-1531-8
language
English
LU publication?
yes
id
44f00491-70d6-47f8-93ff-fc498bac8551 (old id 3191500)
date added to LUP
2012-12-03 07:11:50
date last changed
2017-01-01 06:22:20
@article{44f00491-70d6-47f8-93ff-fc498bac8551,
  abstract     = {Hip fractures constitute a serious and common health problem from both individual and public health perspectives. Unified data collection and comparison between countries is recognised as an effective tool for care improvements. However, the variation in patients' demography, treatment methods and other local cultural aspects in different countries should be considered. The aim of our study was to compare femoral neck fracture patients treated in Kaunas and Lund, concerning functional outcome and quality of life. We investigated 99 patients treated by arthroplasty in Kaunas Clinics and 117 patients in Lund University Hospital. Patients were investigated according to the National Swedish Hip Fracture Register model and were followed up for a period of four months after the injury. The patient's place of residence, mobility, complaints of pain and additional hospital stay were recorded. The EQ-5D questionnaire was used to evaluate quality of life. Patients in Kaunas were significantly younger, had lower ASA grade and were more mobile before trauma and at four moths follow-up. However, when comparing quality of life at four months follow-up between the institutions, Lund patients reported significantly better self care, felt less pain and discomfort, and had less symptoms of anxiety and depression. The difference observed in quality of life rating between institutions might be related to local cultures of the countries and should be considered when comparing the data.},
  author       = {Valaviciene, Rasa and Macijauskiene, Jurate and Tarasevicius, Sarunas and Smailys, Alfredas and Dobozinskas, Paulius and Hommel, Ami},
  issn         = {1432-5195},
  language     = {eng},
  number       = {8},
  pages        = {1681--1686},
  publisher    = {Springer},
  series       = {International Orthopaedics},
  title        = {Femoral neck fractures in Lithuania and Sweden. The differences in care and outcome},
  url          = {http://dx.doi.org/10.1007/s00264-012-1531-8},
  volume       = {36},
  year         = {2012},
}