Beringer T R, Gilmore D H
Geriatric Medical Unit, Royal Victoria Hospital, Belfàst.
Ulster Med J. 1991 Apr;60(1):28-34.
Outcome after proximal femoral fracture was assessed in 89 elderly females. Mortality both in hospital and subsequent to discharge was identified, with a mortality rate of 13.5% at 30 days and 35% after one year. The median length of stay was 28 days, with 40% of subjects transferred for geriatric-orthopaedic care. Delay prior to surgery and its relationship to increased mortality was highlighted. The importance of the fracture population and its selection and influence on outcome is discussed, indicating the need for caution in comparative audit.
对89名老年女性股骨近端骨折后的结果进行了评估。确定了住院期间及出院后的死亡率,30天死亡率为13.5%,一年后为35%。中位住院时间为28天,40%的患者被转至老年骨科护理。强调了手术前的延迟及其与死亡率增加的关系。讨论了骨折人群及其选择对结果的重要性和影响,表明在比较性审计中需要谨慎。