Quality effects of operative delay on mortality in hip fracture treatment

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Quality effects of operative delay on mortality in hip fracture treatment.

BACKGROUND Most hip fracture patients undergo surgery, but there is conflicting evidence on the relation between the timing of surgery and the outcome of treatment. There is considerable variation in the length of surgical delays between hospitals, possibly reflecting the quality of care. AIM To examine the associations between in-hospital surgical delay and the mortality of hip fracture pati...

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Assessment of malnutrition in hip fracture patients: effects on surgical delay, hospital stay and mortality.

The importance of malnutrition in elderly hip fracture patients has long been recognised. All patients operated upon for a hip fracture over a five-year period were assessed according to two nutritional markers : a) serum albumin levels and b) peripheral blood total lymphocyte count. Patients were subdivided into groups according to the four possible combinations of these results. Outcomes acco...

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Operative treatment of hip fracture in haemodialysed patients.

PURPOSE To study operative treatment and postoperative clinical outcomes of hip fracture in haemodialysed patients. METHODS In 12 patients (8 men and 4 women) undergoing haemodialysis, 14 hip fractures were treated. Of these, 8 hips were treated with bipolar hip arthroplasty, one hip with total hip arthroplasty, 4 hips with a compression hip screw, and one hip with a gamma nail. The mean dura...

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Effects of Hip Geometry on Fracture Patterns of Proximal Femur

  Background: Some studies have previously shown that geometry of proximal femur can affect the probability of fracture and type of fracture. It happens since the geometry of the proximal femur determines how a force is applied to its different parts. In this study, we have compared proximal femur’s geometric characteristics in femoral neck (FNF), intertrochanteric (ITF) and Subtrochanteric (ST...

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Medical Treatment Predicts Mortality After Hip Fracture

BACKGROUND The mortality after hip fracture has remained high and stable the past 50 years despite improved surgical treatment. The aim of this study was to identify medications and medical factors associated with mortality after hip fracture. METHODS This is a prospective observational study with median observation time of 21 months. Three hundred and sixty-four patients, mean age 83.4 years...

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ژورنال

عنوان ژورنال: Quality and Safety in Health Care

سال: 2005

ISSN: 1475-3898,1475-3901

DOI: 10.1136/qshc.2004.012831