Trends in surgical treatment of femoral neck fractures in the elderly

Autor: Alexandre Leme Godoy-Santos, Walter Smith, Eva J. Lehtonen, Martim Pinto, Sameer Naranje, Ashish Shah, Bradley W. Wills, Gerald McGwin, Robert Stibolt
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Time Factors
Hip fractures/surgery
medicine.medical_treatment
Arthroplasty
Replacement
Hip
Bone Screws
lcsh:Medicine
Fraturas do colo femoral/cirurgia
Femoral Neck Fractures
Procedimentos cirúrgicos operatórios/tendências
Body Mass Index
03 medical and health sciences
0302 clinical medicine
Age Distribution
Postoperative Complications
Fracture Fixation
medicine
Internal fixation
Humans
030212 general & internal medicine
Sex Distribution
Femoral neck
Retrospective Studies
Aged
Aged
80 and over
030222 orthopedics
business.industry
Surgical procedures
operative/trends
Idoso
lcsh:R
Postoperative complication
Retrospective cohort study
General Medicine
Fraturas do quadril/cirurgia
Arthroplasty
United States
Surgery
medicine.anatomical_structure
Treatment Outcome
Current Procedural Terminology
Original Article
Female
Hemiarthroplasty
Femoral neck fractures/surgery
business
Body mass index
Zdroj: einstein (São Paulo) v.16 n.3 2018
Einstein (São Paulo)
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
instacron:IIEPAE
Einstein
Einstein (São Paulo), Vol 16, Iss 3
Popis: Objective To analyze recent demographic and medical billing trends in treatment of femoral neck fracture of American elderly patients. Methods The American College of Surgeons National Surgical Quality Improvement Program database was analyzed from 2006 to 2015, for patients aged 65 years and older, using the Current Procedural Terminology codes 27130, 27125, 27235, and 27236. Patient demographics, postoperative complications, and frequency of codes were compared and analyzed over time. Our sample had 17,122 elderly patients, in that, 70% were female, mean age of 80.1 years (standard deviation±6.6 years). Results The number of cases increased, but age, gender, body mass index, rates of diabetes and smoking did not change over time. Open reduction internal fixation was the most commonly billed code, with 9,169 patients (53.6%), followed by hemiarthroplasty with 5,861 (34.2%) patients. Combined estimated probability of morbidity was 9.8% (standard deviation±5.2%), and did not change significantly over time. Postoperative complication rates were similar between treatments. Conclusion Demographics and morbidity rates in femoral neck fractures of elderly patients did not change significantly from 2006 to 2015. Open reduction internal fixation was the most common treatment followed by hemiarthroplasty.
Databáze: OpenAIRE
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