| Autor: |
Mok JM; Department of Orthopaedic Surgery, University of California, San Francisco, 94143-0728, USA. james.mok@ucsf.edu, Durrani SK, Yamamoto A, Kim HT |
| Jazyk: |
angličtina |
| Zdroj: |
American journal of orthopedics (Belle Mead, N.J.) [Am J Orthop (Belle Mead NJ)] 2010 Feb; Vol. 39 (2), pp. 80-7. |
| Abstrakt: |
Outcomes by admitting service of 355 consecutive patients admitted for hip fracture at an academic medical center were retrospectively studied. An adverse event occurred in 53 patients (14.9%): 10 in-hospital deaths, 37 intensive care unit transfers, and 25 deaths within 30 days. No significant difference was found between percentages of patients with adverse events admitted to a medical service versus an orthopedic service (52.8% vs 47.2%; P = .8). Criteria that determine admitting service based on medical acuity do not adequately allocate patients at risk for serious morbidity and early mortality to a medical service. Addition of American Society of Anesthesiologists grade 4 and men 85 or older to existing criteria would increase the percentage of patients with adverse events admitted to a medical service (72% vs 28%; P<.005). |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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