Differences in complications and length of stay between patients with a hip fracture treated in an orthopaedic department and patients treated in other hospital departments

Hommel, Ami; Björkelund, Karin Björkman; Thorngren, Karl–Göran; Ulander, Kerstin

doi:10.1016/j.joon.2007.11.001

Cited by 12 publications

(4 citation statements)

References 56 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2007 a decision was made to avoid placing hip fracture patients in other wards. This decision was based on a study by Hommel et al showing increased LOS, delayed rehabilitation efforts and increased complications rates for hip fracture patients when treated in other hospital departments [15]. Our hospital has no tradition in orthogeriatric collaboration for this patient group, but maybe this ought to be the next step in the effort to improve outcome.…”

Section: Discussionmentioning

confidence: 99%

The impact of care process development and comorbidity on time to surgery, mortality rate and functional outcome for hip fracture patients: a retrospective analysis over 19 years with data from the Swedish National Registry for hip fracture patients, RIKSHÖFT

Turesson

Ivarsson

Thorngren

et al. 2019

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

For a long time the attention given to the hip fracture patient group was minor and without any certain consideration to their frailty. To improve the care for these patients Skane University Hospital in Lund has during the past 19 years worked actively with developing the care. This paper aims to describe what impact the care process development has had on functional outcome and mortality, as well as to analyze the impact of comorbidity and fracture type.MethodsPatients older than 50 years with non-pathological cervical and trochanteric hip fracture admitted between Jan 1st 1999 and Dec 31st 2017 were included and data was retrieved from the National Quality Register for hip fracture patients, RIKSHÖFT. Variables regarding patient characteristics, fracture type, operation method, lead-times and outcome were analyzed. For comparison Fischer’s exact test and Spearman’s rank correlation coefficient was used for the categorical data and Pearson correlation coefficient for the continuous. To further analyze the effect over time a linear regression model was used.ResultsA total of 7827 patients were included. A significant shift in the overall morbidity was seen, with an increase in patients of higher ASA grade. No correlation was seen between outcome and the care process development. The mortality rate for the group as a whole the mortality rate had decreased over time. The total length of stay had decreased significantly over time. There was no statistically significant change in mortality rate over time when relating it to time-to-surgery.ConclusionsAlthough the patients display a higher morbidity over time, the mortality rate has not changed significantly, which might indicate an effect of the care process development.The care process development does not seem to impact on outcome as much as other factors.This study supports the possibility to create a more specific algorithm for hip fracture patients, taking specific subgroups into consideration.

show abstract

Section: Discussionmentioning

confidence: 99%

The impact of care process development and comorbidity on time to surgery, mortality rate and functional outcome for hip fracture patients: a retrospective analysis over 19 years with data from the Swedish National Registry for hip fracture patients, RIKSHÖFT

Turesson

Ivarsson

Thorngren

et al. 2019

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

show abstract

“…An assessment should be made on admission as part of the comprehensive assessment of patients’ skin and risk of pressure ulcers. It is well known that pressure ulcers are common among patients with hip fractures (Houwing et al ., ; Bååth et al ., ; Baumgarten et al ., ) perhaps because of confusion (Björkelund et al ., ) and longer waiting time for surgery (Hommel et al ., ). Older adults are particularly vulnerable to pressure ulcers.…”

Section: Discussionmentioning

confidence: 97%

A national quality registers as a tool to audit items of the fundamentals of care to older patients with hip fractures

Hommel

Bååth

2015

Int J Older People Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

“…A recent meta-analysis [148] strongly supports the view that early surgery reduces mortality, pneumonia, and pressure sores. Furthermore, the patient should be treated in a ward with experience of hip fracture patients [61].…”

Section: Time To Surgerymentioning

confidence: 99%

Fractures of the Femoral Neck and Proximal Femur

Thorngren

2014

European Surgical Orthopaedics and Traumatology

Self Cite

View full text Add to dashboard Cite

Differences in complications and length of stay between patients with a hip fracture treated in an orthopaedic department and patients treated in other hospital departments

Cited by 12 publications

References 56 publications

The impact of care process development and comorbidity on time to surgery, mortality rate and functional outcome for hip fracture patients: a retrospective analysis over 19 years with data from the Swedish National Registry for hip fracture patients, RIKSHÖFT

The impact of care process development and comorbidity on time to surgery, mortality rate and functional outcome for hip fracture patients: a retrospective analysis over 19 years with data from the Swedish National Registry for hip fracture patients, RIKSHÖFT

A national quality registers as a tool to audit items of the fundamentals of care to older patients with hip fractures

Fractures of the Femoral Neck and Proximal Femur

Contact Info

Product

Resources

About