Verma Rajeev, Rigby Alan, Shaw Chris, Mohsen Amr
Calderdale and Huddersfield NHS Trust, 20 Linton Rd, Leeds, LS17 8QH United Kingdom.
Orthopedics. 2010 Mar;33(3). doi: 10.3928/01477447-20100129-13. Epub 2010 Mar 10.
The population of Western countries is aging. Previous studies have reported that advancing age does not significantly affect acute inpatient stay in femoral neck fractures. The primary goal of our study was to compare inpatient stay in acute orthopedic wards and time delay to surgery with increasing age in patients with femoral neck fractures. We then looked at the effect of covariates on our outcome measures. Our secondary goal was to identify any additional cost implications for acute care of femoral neck fractures with increasing age.This study describes 3712 patients with femoral neck fractures. The unadjusted mean stay in an acute orthopedic ward increased from 12.4 days in the patients younger than 60 years to 21.4 days in the patients 90 to 99 years (P<.0001). Similarly, unadjusted mean surgical delay increased from 20.7 hours to 39.5 hours (P<.0001). The unadjusted cost increased from $3394 in the patients younger than 60 years to $6235 in the patients 90 to 99 years.As the population ages, the number of femoral neck fractures will increase. Our study demonstrates that age is an independent predictor of increased inpatient stay and surgical delay. It also shows that we need increased resources to tackle femoral neck fractures in the aging population.
西方国家的人口正在老龄化。此前的研究报告称，年龄增长对股骨颈骨折患者的急性住院时间没有显著影响。我们研究的主要目的是比较股骨颈骨折患者在急性骨科病房的住院时间以及手术延迟时间随年龄增长的变化情况。然后，我们观察了协变量对我们的结局指标的影响。我们的次要目标是确定随着年龄增长，股骨颈骨折急性护理的任何额外成本影响。本研究描述了3712例股骨颈骨折患者。急性骨科病房未经调整的平均住院时间从60岁以下患者的12.4天增加到90至99岁患者的21.4天（P<0.0001）。同样，未经调整的平均手术延迟时间从20.7小时增加到39.5小时（P<0.0001）。未经调整的费用从60岁以下患者的3394美元增加到90至99岁患者的6235美元。随着人口老龄化，股骨颈骨折的数量将会增加。我们的研究表明，年龄是住院时间延长和手术延迟增加的独立预测因素。它还表明，我们需要增加资源来应对老年人群中的股骨颈骨折。
