Eight-year follow-up on the effect of a hip fracture service on patient care and outcome.
The purpose of this study was to evaluate the 8-year effect of a hip fracture service on time to surgery; duration of surgery; length of stay in acute care, intensive care, and rehabilitation unit; and incidence of postoperative complications and in-hospital mortality. The study group consisted of 50 female patients 65 years of age or older who were treated for hip fractures in 1999 and 50 case-, age-, and American Society of Anesthesiologists score-matched female patients treated in 2006. Group differences were compared via the Student paired t test and χ² analysis (statistical significance, p ≤ .05). The 2006 group had a significantly shorter mean surgical time than did the 1999 group, but time to surgery did not change. The 2006 group showed improvements (but not statistically significant ones) in length of stay in acute care, intensive care, and rehabilitation unit, and in the incidence of complications and in-hospital mortality.
Department of Orthopaedic Surgery, The Johns Hopkins Bayview Medical Center, Baltimore, MD 21224-2780, USA.
Savyasachi C
SC
Thakkar
Frederick E
FE
Sieber
Khwaja J
KJ
Zakriya
Simon C
SC
Mears
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005265:Femoral Neck Fractures / Q000534:rehabilitation / Q000601:surgery; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000534:rehabilitation / Q000601:surgery*; D017052:Hospital Mortality; D006801:Humans; D015994:Incidence; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration; D011183:Postoperative Complications / Q000453:epidemiology; D013503:Surgery Department, Hospital / Q000458:organization & administration*; D016896:Treatment Outcome