Analysis of surgically treated patients with hip fracture admitted to the Department of traumatoloy, UMC Ljubljana in 2016
DOI:
https://doi.org/10.6016/ZdravVestn.3000Keywords:
hip fracture, pertrochanteric fracture, femoral neck fracture, survival, mobilityAbstract
Background: The incidence of hip fracture in developed countries is between 400/100000 to 1000/100000 in population over 65 years of age and the number is increasing due to population aging. Despite improvements in implant technology, surgical technique, anaesthesia and rehabilitation, the outcome for many patients remains poor with a one-year mortality rate of up to 35%. Approximately half of the patients are able to return to pre-injury mobility. Treatment outcome is related to pre-injury status with comorbidities and treatment protocol (timing and type of surgery, etc.). The purpose of our retrospective study is to analyze the results of hip fracture treatment at the Department of Traumatology, UMC Ljubljana.
Methods: We performed an observational retrospective cohort study of all patients with pertrochanteric and femoral neck fracture, who were admitted to the Department of Traumatology, UMC Ljubljana from 1 January 2016 to 31 December 2016. Data processing and statistical analysis were done with Rstudio (version 1.1.463, 2018) and Tidyverse and Survival libraries.
Results: In one-year period we treated 717 patients with hip fracture. Median age was 82 years. The majority of patients had ASA scoring 3 (56.5%). The survival analysis included 695 patients. We operated on 92.5% of patients and their one-year survival was 81.6%; 53.8% for those were treated conservatively. 79% of patients with pertrochanteric fractures and just 33% patients with femoral neck fracture were operated on in 48 hours after admission. The return to pre-injury mobility was achieved in 52% of surgically treated patients. The average hospitalization time was 12 days.
Conclusion: The results regarding survival rate and return to pre-injury mobility for the patients treated at our institution are at least comparable to those reported in the literature. In the future we have to decrease time from admission to surgery for femoral neck fracture patients (by organising special surgical facilities intended for these patients) and decrease hospitalization time (by enlarging outpatient nursing care facilities).
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