title: [Analysis of hip fracture care in Hungary between 2004-2009].
abstract: BACKGROUND
  Proximal femoral fractures with severe outcome are most common in the increasing group of elderly patients.
  
  
  OBJECTIVE
  Based on the regular data gathered by the EuroHOPE research, the most important aspects and results of the treatment of proximal femoral fractures were studied.
  
  
  METHODS
  Data of hospital admissions due to proximal femoral fractures were analyzed.
  
  
  RESULTS
  There was a slight increase in the number of hospitalized patients between 2004 and 2009 in Hungary. 88% of the patients received operative treatment, 41% suffered femoral neck fractures. Mortality rates did not change significantly in the analyzed period. Standardized annual mortality rates for patients who had suffered a femoral neck fracture were 28% when prosthesis was implanted; this result was somewhat more favorable than in case of other surgical procedures. Annual mortality rates were higher in the peritrochanteric fracture group where intramedullary nailing was performed (36%). The ratio of operated patients did not differ significantly from international results. Mortality rates in Hungary were significantly less favorable. 30 day standardized mortality rate was 13.6% in 2008, twice as high as the rate in Finland, The Netherlands, Norway, Scotland and Sweden. The 40% mortality rate calculated for 365 days was significantly higher than international results.
  
  
  CONCLUSIONS
  To define the measures needed to improve results, systematic analysis of both in-hospital treatment protocols, and follow-up treatment is necessary. Orv. Hetil., 2016, 157(41), 1642-1648.
authors.affiliation: Péterfy Sándor Utcai Kórház-Rendelőintézet és Baleseti Központ Budapest.
authors.forename: István
authors.initials: I
authors.lastname: Flóris
authors.affiliation: Egészségügyi Menedzserképző Központ, Semmelweis Egyetem Budapest, Kútvölgyi út 2., 1125.
authors.forename: Éva
authors.initials: É
authors.lastname: Belicza
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D001858:Bone Nails; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000401:mortality / Q000601:surgery; D006620:Hip Fractures / Q000401:mortality* / Q000601:surgery*; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D016268:Internal Fixators; D008297:Male; D011379:Prognosis; D020127:Recovery of Function; D012042:Registries; D012189:Retrospective Studies; D012537:Scandinavian and Nordic Countries / Q000453:epidemiology; D016896:Treatment Outcome
keywords: csípőtáji törések; halálozás; hip fractures; incidence; incidencia; mortality; sebészeti eljárások; surgical procedures