دورية أكاديمية
أعرض في EDS

Orthogeriatric Service Reduces Mortality in Patients With Hip Fracture.

التفاصيل البيبلوغرافية
العنوان: Orthogeriatric Service Reduces Mortality in Patients With Hip Fracture.
المؤلفون: Stenqvist C; Department of Orthopedic Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark., Madsen CM; Department of Orthopedic Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark., Riis T; Department of Orthopedic Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark., Jørgensen HL; Department of Clinical Biochemistry, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark., Duus BR; Department of Orthopedic Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark., Lauritzen JB; Department of Orthopedic Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark., van der Mark S; Department of Orthopedic Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
المصدر: Geriatric orthopaedic surgery & rehabilitation [Geriatr Orthop Surg Rehabil] 2016 Jun; Vol. 7 (2), pp. 67-73. Date of Electronic Publication: 2016 Mar 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 101558150 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2151-4585 (Print) Linking ISSN: 21514585 NLM ISO Abbreviation: Geriatr Orthop Surg Rehabil Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Thousand Oaks, CA : Sage Publications
مستخلص: Introduction: Orthogeriatric service has been shown to improve outcomes in patients with hip fracture. The purpose of this study is to evaluate the effect of orthogeriatrics at Bispebjerg University Hospital, Denmark. The primary outcome is mortality inhospital and after 1, 3, and 12 months for patients with hip fracture. The secondary outcome is mortality for home dwellers and nursing home inhabitants.
Materials and Methods: This is a retrospective clinical cohort study with an historic control group including all patients with hip fracture admitted from 2007 to 2011. Patients with hip fracture are registered in a local database, and data are retrieved retrospectively using the Danish Civil Registration Number.
Results: We included 993 patients in the intervention group and 989 patients in the control group. A univariate analysis showed only significantly decreased mortality inhospital 6.3% vs 3.1% (P = .009) after orthogeriatrics. However, when adjusting for age, gender, and American Society of Anaesthesiologists (ASA) score in a multivariate analysis, including all patients with hip fracture, we find significantly reduced mortality inhospital (odds ratio [OR] 0.35), after 30 [OR 0.66] and 90 days [OR 0.72] and 1 year [OR 0.79]). When using a univariate analysis for home-dwelling patients, we found significantly reduced mortality inhospital (8.3-2.0%, P < .0001), after 30 days (12.2-6.8%, P = .004) and 90 days (20.5-13.0%, P = .002). One-year mortality was not significant. Patients from nursing homes had no significant decreasing mortality at any point of time in the univariate analysis.
Conclusion: We have shown significant decreases for inhospital, 30 day, 90 day, and 1-year mortality after implementation of orthogeriatric service at Bispebjerg Hospital when adjusting for age, gender, and ASA score. Future trials should include frail patients with other fracture types who can benefit from orthogeriatrics.
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فهرسة مساهمة: Keywords: Denmark; hip fracture; mortality; orthogeriatrics
تواريخ الأحداث: Date Created: 20160531 Date Completed: 20160530 Latest Revision: 20200929
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC4872179
DOI: 10.1177/2151458515625296
PMID: 27239379
قاعدة البيانات: MEDLINE
الوصف
تدمد:2151-4585
DOI:10.1177/2151458515625296