The provision of total hip replacement for displaced intracapsular hip fractures
| Autor: | L Walker, Ce Ng, J Penny, E Wakinshaw, A Sims, T Brock, H Vint, U Sreedharan, G Chuter, S Cawkwell, R Nanda, A Waton, C Ghazala, J Clements, MC Killen, S Lapworth, M Krishnan, K Sigamoney, S Asaad, M Dawson, P Thomas, A Nanu, N Agni, B Ahmed, Collaborative, Orthopaedic, Res, C White, M Mawdsley, M Reed, K Green, P Johnston, N El-Arabi, LH Lee, AC Gray, M Webb, A Murty, Paul Baker, N Toufexis, R Varrall, D Fung, R Holmes |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Aged
80 and over Male 030222 orthopedics medicine.medical_specialty Medical Audit business.industry Hip Fractures Arthroplasty Replacement Hip Total hip replacement General Medicine Middle Aged Surgery 03 medical and health sciences 0302 clinical medicine Medicine Humans Female 030212 general & internal medicine Hip Surgery Prospective Studies Practice Patterns Physicians' business Aged |
| Popis: | Introduction The National Institute for Health and Care Excellence (NICE) currently recommends the use of total hip replacement (THR) for displaced intracapsular hip fractures in patients who meet certain mobility, cognitive and health criteria. Methods A multicentre prospective audit was conducted within a defined geographic region to assess current practice and variation in provision of THR for displaced intracapsular hip fractures. Results A total of 879 patients with hip fractures, admitted to 8 acute trauma units, were included in this study. Of 462 patients with displaced intracapsular hip fractures, 169 fulfilled the NICE criteria for THR. THR was performed for only 49 of (29%) the eligible patients. There was significant variation in THR provision between the eight units (0% to 50% THR usage, pConclusions There is significant variation in the provision of THR for eligible hip fracture patients, which is influenced by both patient demographics and the unit to which a patient is admitted. |
| Databáze: | OpenAIRE |
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