Orthogeriatric services associated with lower 30‐day mortality for older patients who undergo surgery for hip fracture
| Autor: | Barbara Toson, Justin Zeltzer, Ian A. Harris, Rebecca Mitchell, Laura Ahmad, Jacqueline C. T. Close |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Health Services for the Aged Hip fracture surgery Comorbidity Older patients Humans Medicine Aged Retrospective Studies Hip fracture Hip Fractures business.industry Mortality rate Australia Retrospective cohort study General Medicine Length of Stay medicine.disease Surgery Orthopedics 30 day mortality Orthopedic surgery New South Wales business New Zealand |
| Zdroj: | Medical Journal of Australia. 201:409-411 |
| ISSN: | 1326-5377 0025-729X |
| DOI: | 10.5694/mja14.00055 |
| Popis: | OBJECTIVE To examine the impact of orthogeriatric services on 30-day mortality and length of stay (LOS) for hip fracture patients undergoing surgery in public hospitals in New South Wales. DESIGN, SETTING AND PATIENTS A retrospective analysis of patients aged 65 years and older who had a fractured hip and received surgical intervention between 1 July 2009 and 30 June 2011 at one of the 37 NSW public hospitals operating on hip fracture patients. MAIN OUTCOME MEASURES 30-day mortality and LOS. RESULTS During the study period, there were 9601 hip fracture cases for which surgery was done. Mean age, sex and comorbidity distribution were similar for hip fracture patients treated in hospitals with an orthogeriatric service compared with those treated in hospitals without an orthogeriatric service. There were 706 deaths within 30 days of hip fracture surgery, and the overall unadjusted 30-day mortality rate was 7.4%. The median adjusted 30-day mortality rate for hospitals with an orthogeriatric service was significantly lower than that for hospitals without an orthogeriatric service (6.2% v 8.4%; P |
| Databáze: | OpenAIRE |
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