Should hospital managers read the orthopedic literature before surgeons? The example of femur fracture management
Autor: | Alessandro Massè, Gabriele Agati, Denis Longo, Matteo Giachino, Alessandro Aprato |
---|---|
Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty Sports medicine 03 medical and health sciences Elderly 0302 clinical medicine Public healthcare Fracture Fixation Early treatment Intervention (counseling) Fracture fixation medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Hospitals Teaching Aged Retrospective Studies Aged 80 and over 030222 orthopedics Femur fracture Case Managers business.industry Retrospective cohort study Evidence-based medicine Perioperative Length of Stay Orthopedics Treatment Outcome Italy Hip fractures Orthopedic surgery Physical therapy Original Article Female Management Audit Surgery Periodicals as Topic business Femoral Fractures |
Zdroj: | Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology |
ISSN: | 1590-9999 1590-9921 |
DOI: | 10.1007/s10195-016-0427-6 |
Popis: | Background Early surgical intervention in the treatment of proximal femur fractures has been shown to significantly reduce mortality and complications. Our study intends to evaluate early surgery rates in a single-center analysis before the clinical advantages of early surgical intervention were demonstrated in the literature (G1), after the orthopedic team aimed to treat those fractures within 48 h (G2), and after early intervention became a primary objective for hospital management (G3). Materials and methods The hospital charts of 894 proximal femur fractures in patients aged >65 years between 2008 and 2015 were analyzed in a single teaching hospital. The patients were allocated to three groups according to admission date, relative to the introduction of the different targets for early intervention. Our primary aim was to evaluate the differences in the rate of surgical treatment within 48 h in the three groups, and our secondary aim was to see if those differences influenced clinical outcomes. Results The rate of treatment before 48 h was 23, 49 and 72 % in groups 1, 2 and 3, respectively (p |
Databáze: | OpenAIRE |
Externí odkaz: |