[Reduce the mortality due to femur fractures via an integrated approach to the comorbidity].
Preliminary studies show that there is an annual increase in the number of operations for femur fractures in The Netherlands and that this increase can be ascribed totally to the increasing age of the population, even though the risk of falling has not increased. Although the hospital mortality in this category of patients has decreased, mainly as the result of a shortened hospital stay, the long-term mortality does not seem to have decreased in comparison to earlier analyses. The conclusion could well be that we in The Netherlands must be able, in the future, to reduce the long-term mortality by means of a better integrated approach to care, as has already been described in other studies.
Bulstra
S K
SK
Universitair Medisch Centrum Groningen, afd. Orthopedie, Postbus 30.001, 9700 RB Groningen. s.k.bulstra@orth.umcg.nl
D000058:Accidental Falls / Q000401:mortality / Q000517:prevention & control; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000473:pathology; D015897:Comorbidity; D005260:Female; D005264:Femoral Fractures / Q000150:complications / Q000453:epidemiology / Q000401:mortality / Q000601:surgery; D006620:Hip Fractures / Q000150:complications / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D011379:Prognosis; D012307:Risk Factors