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Hip fractures in Hungary and Sweden - differences in treatment and rehabilitation

Cserhati, P ; Fekete, K ; Berglund-Roden, M ; Wingstrand, Hans LU and Thorngren, Karl-Göran LU (2002) In International Orthopaedics 26(4). p.222-228
Abstract
Data of 1,337 consecutive hip fracture patients were registered during I year within a prospective comparative multicenter study comparing osteosynthesis techniques and rehabilitation results in Budapest, Hungary, in Sundsvall, northern Sweden, and in Lund, southern Sweden. In Budapest the mean age was 4-5 years lower than in Sweden, and more patients lived in their own home (91% versus 70% and 62%). Less intracapsular (41% versus 54% and 54%) and more trochanteric fractures (52% versus 40% and 35%) were observed in Budapest. Many more Hungarian patients returned home (68% versus 54% and 33%); however, their mortality rate 4 months later significantly exceeded that of the Swedish centres (24% versus 15% and 13%), and more had severe pain... (More)
Data of 1,337 consecutive hip fracture patients were registered during I year within a prospective comparative multicenter study comparing osteosynthesis techniques and rehabilitation results in Budapest, Hungary, in Sundsvall, northern Sweden, and in Lund, southern Sweden. In Budapest the mean age was 4-5 years lower than in Sweden, and more patients lived in their own home (91% versus 70% and 62%). Less intracapsular (41% versus 54% and 54%) and more trochanteric fractures (52% versus 40% and 35%) were observed in Budapest. Many more Hungarian patients returned home (68% versus 54% and 33%); however, their mortality rate 4 months later significantly exceeded that of the Swedish centres (24% versus 15% and 13%), and more had severe pain in the operated hip (27% versus 17% and 15%). Four months after double nail osteosynthesis of displaced cervical fractures, more patients (28%) had severe hip pain than after hemiarthroplasty (16%) in Budapest as compared to Lund or Sundsvall (19% and 22%). Mortality rate after 4 months following hemiarthroplasty and nailing (36% and 20%) was significantly higher than in the Swedish centres (14% and 11%). (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Orthopaedics
volume
26
issue
4
pages
222 - 228
publisher
Springer
external identifiers
  • wos:000177896200008
  • scopus:0036937553
ISSN
1432-5195
DOI
10.1007/s00264-002-0349-1
language
English
LU publication?
yes
id
c9d6e5dd-9557-4d19-84e7-a6dd6b0a4094 (old id 329203)
date added to LUP
2016-04-01 16:36:04
date last changed
2022-01-28 20:50:25
@article{c9d6e5dd-9557-4d19-84e7-a6dd6b0a4094,
  abstract     = {{Data of 1,337 consecutive hip fracture patients were registered during I year within a prospective comparative multicenter study comparing osteosynthesis techniques and rehabilitation results in Budapest, Hungary, in Sundsvall, northern Sweden, and in Lund, southern Sweden. In Budapest the mean age was 4-5 years lower than in Sweden, and more patients lived in their own home (91% versus 70% and 62%). Less intracapsular (41% versus 54% and 54%) and more trochanteric fractures (52% versus 40% and 35%) were observed in Budapest. Many more Hungarian patients returned home (68% versus 54% and 33%); however, their mortality rate 4 months later significantly exceeded that of the Swedish centres (24% versus 15% and 13%), and more had severe pain in the operated hip (27% versus 17% and 15%). Four months after double nail osteosynthesis of displaced cervical fractures, more patients (28%) had severe hip pain than after hemiarthroplasty (16%) in Budapest as compared to Lund or Sundsvall (19% and 22%). Mortality rate after 4 months following hemiarthroplasty and nailing (36% and 20%) was significantly higher than in the Swedish centres (14% and 11%).}},
  author       = {{Cserhati, P and Fekete, K and Berglund-Roden, M and Wingstrand, Hans and Thorngren, Karl-Göran}},
  issn         = {{1432-5195}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{222--228}},
  publisher    = {{Springer}},
  series       = {{International Orthopaedics}},
  title        = {{Hip fractures in Hungary and Sweden - differences in treatment and rehabilitation}},
  url          = {{http://dx.doi.org/10.1007/s00264-002-0349-1}},
  doi          = {{10.1007/s00264-002-0349-1}},
  volume       = {{26}},
  year         = {{2002}},
}