Survival After Hip Fracture: A Comparative Analysis Between a Private and a Public Health Center in Chile

Barahona, Maximiliano; Martínez, Alexis; Barrientos, Cristián; Barahona, Macarena A; Cavada, Gabriel; Brañes, Julián

doi:10.7759/cureus.11773

Cited by 2 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, access to fracture treatment can be analyzed using hip fracture as an example. A recent study shows that patients who belong to FONASA had a greater hip fracture incidence [ 28 ]. Moreover, patients treated for hip fracture in the PHN had a higher risk to underwent non-surgical treatment, longer hospital stay, greater in-hospital mortality, and higher one-year mortality as compared to patients treated in a private institution (even if they had public insurance [ 28 - 29 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in Orthopedic Surgery in Chile: Analysis Between 2004 and 2020

Barahona

Santos²,

Díaz

et al. 2021

Cureus

Self Cite

View full text Add to dashboard Cite

To describe the trends of orthopedic surgery in Chile since 2004 in terms of the number and gender of surgeons, the incidence of procedures per 100,000 inhabitants (IR), and access by health insurance and type of health center. MethodsA cross-sectional study was designed. Three databases were analyzed: the free access database of the Chilean Department of Statistics and Health Information (DEIS), which had information on all procedures performed in health institutions in Chile from 2004 to 2020. Then, the orthopedic surgeon registry was requested from the National Superintendence of Health (NSH). Finally, the database of the Chilean Society of Orthopaedic Surgeons (SCHOT) was analyzed. Spearman's correlation was used to determine significant trends during the analyzed period. ResultsThe NSH reported 1770 orthopedic surgeons in 2020; 56% were affiliated with SCHOT. An upward trend in the proportion of female orthopedic surgeons was found, from 4.8% in 2004 to 7.6% in 2020. Since 2004, the IR of orthopaedic surgeries has been increasing significantly in both health insurances; the growth in public insurance follows a linear model (R 2 = 0.970) of parameters β 0 = -55982.6 (p <0.000) and β 1 = 28.02 (p <0.000) while in private insurance, the growth is also linear (R 2 = 0.890) but with a greater slope: β 0 = -104136 (p <0.000) and β 1 = 52.15 (p <0.000). A significant downward trend was found in the proportion of surgeries performed in the public health network (rho = -0.797, p = 0.0002). ConclusionsThere is a significant increase in the number of orthopedic surgeons and the number of procedures per 100,000 inhabitants. Nevertheless, there is evident inequity in access to orthopedic surgery in Chile and low gender diversity.

show abstract

Section: Discussionmentioning

confidence: 99%

Trends in Orthopedic Surgery in Chile: Analysis Between 2004 and 2020

Barahona

Santos²,

Díaz

et al. 2021

Cureus

Self Cite

View full text Add to dashboard Cite

show abstract

“…Since the new century, orthopedic procedures show a great increase [1]; most of these surgeries are due to hip fractures. This is a major public health problem and is associated with a decrease in quality of life and considerable mortality [2][3][4]. Chile is no exception, and a recent study has shown that patients older than 50 years have a lower probability of dying one year after hip fracture, even more so if they are treated in a private health center [2].…”

Section: Introductionmentioning

confidence: 99%

“…This is a major public health problem and is associated with a decrease in quality of life and considerable mortality [2][3][4]. Chile is no exception, and a recent study has shown that patients older than 50 years have a lower probability of dying one year after hip fracture, even more so if they are treated in a private health center [2]. Trochanteric and subtrochanteric hip fractures are more common in women than in men, and the 1-year mortality rate is as high as 26% [3].…”

Section: Introductionmentioning

confidence: 99%

Scissor Position of the Orthopedic Table for the Resolution of Intertrochanteric and Subtrochanteric Hip Fractures

Barrientos

Brañes

Wulf

et al. 2021

Cureus

Self Cite

View full text Add to dashboard Cite

During the surgical resolution of intertrochanteric and subtrochanteric hip fractures on an orthopedic table, a fluoroscope needs to be used in orthogonal planes. This requires that the contralateral leg does not obstruct the radioscopic view, so patients are often placed in a hemilithotomy position. This position, also called the Lloyd-Davis position, involves hip flexion, hip abduction, hip external rotation, and knee flexion. However, rare complications, such as acute leg posterior compartment syndrome, have been described.In addition, patients with severe osteoarthritis and joint stiffness or a history of total hip arthroplasty may have difficulty achieving this position, and the well leg may be at risk of injury in a hemilithotomy position. A previously described position called the "scissor position" is, in our opinion, a safer and more efficient technique for placing the well leg on the orthopedic table, using only a pillow and a self-adhesive compression bandage. This simple position allows a lateral fluoroscopic view of the injured femur without overlapping or interference from the other limb.

show abstract

Survival After Hip Fracture: A Comparative Analysis Between a Private and a Public Health Center in Chile

Abstract: Barahona et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 2 publications

References 28 publications

Trends in Orthopedic Surgery in Chile: Analysis Between 2004 and 2020

Trends in Orthopedic Surgery in Chile: Analysis Between 2004 and 2020

Scissor Position of the Orthopedic Table for the Resolution of Intertrochanteric and Subtrochanteric Hip Fractures

Contact Info

Product

Resources

About