title: [Elderly trauma patients with proximal femur fractures : Statistical evaluation of regular process data from a trauma center for the elderly].
abstract: OBJECTIVE
  Proximal femoral fractures are one of the most frequently occurring injuries among elderly people. High rates of inpatient treatment indicate the importance of optimized clinical care.
  
  
  OBJECTIVE
  Based on selected outcome parameters in elderly trauma patients with proximal femoral fractures, the current situation of medical care in a trauma center for geriatric patients is presented.
  
  
  METHODS
  For a descriptive evaluation of outcome parameters, 250 patients aged 70 years and older have been included. A clinical register of a trauma center for the elderly served as the database.
  
  
  RESULTS
  The average length of stay was approximately 25 days. Sixty-seven percent of the patients underwent surgical treatment within 24 h of admission to the hospital. More than half of the patients were taking anticoagulant drugs. Around 18 % of patients presented with one or more complications. Mortality rate was 5.2 %. Thirty-two percent of those patients who had been living at home before admission had been discharged to a nursing home.
  
  
  CONCLUSIONS
  Analyzing the data of a trauma registry enables critical reflection upon the clinical outcome of interdisciplinary treatment procedures. The low rate of mortality may be a result of the geriatric co-treatment, starting right from admission. It remains unclear whether the influence of preoperative interdisciplinary treatment outweighs the effect of a timely surgical procedure.
authors.affiliation: Fakultät für Gesundheits- und Pflegewissenschaften, Westsächsische Hochschule Zwickau, Zwickau, Deutschland. Anne.Koenig@hbk-zwickau.de.|Alterstraumazentrum, Heinrich-Braun-Klinikum Zwickau, Zwickau, Deutschland. Anne.Koenig@hbk-zwickau.de.|Klinik für Unfallchirurgie und Physikalische Medizin, Heinrich-Braun-Klinikum Zwickau, Karl-Keil-Straße 35, 08060, Zwickau, Deutschland. Anne.Koenig@hbk-zwickau.de.
authors.forename: A
authors.initials: A
authors.lastname: König-Leischnig
authors.affiliation: Fakultät für Gesundheits- und Pflegewissenschaften, Westsächsische Hochschule Zwickau, Zwickau, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Klewer
authors.affiliation: Alterstraumazentrum, Heinrich-Braun-Klinikum Zwickau, Zwickau, Deutschland.|Klinik für Unfallchirurgie und Physikalische Medizin, Heinrich-Braun-Klinikum Zwickau, Karl-Keil-Straße 35, 08060, Zwickau, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Karich
authors.affiliation: Alterstraumazentrum, Heinrich-Braun-Klinikum Zwickau, Zwickau, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Richter
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip / Q000706:statistics & numerical data; D016208:Databases, Factual; D005260:Female; D005593:Fracture Fixation, Internal / Q000706:statistics & numerical data; D005594:Fracture Fixation, Intramedullary / Q000706:statistics & numerical data; D005858:Germany; D006620:Hip Fractures / Q000401:mortality / Q000601:surgery*; D017052:Hospital Mortality; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000401:mortality; D011788:Quality of Life; D012042:Registries; D014193:Trauma Centers / Q000706:statistics & numerical data*
chemical_list: D000925:Anticoagulants
keywords: Clinical register; Outcome; Proximal femoral fractures; Trauma center for elderly; Traumatology