Foubister G, Hughes S P
J R Coll Surg Edinb. 1989 Oct;34(5):249-52.
Fractures of the femoral neck place increasing demands on orthopaedic resources. A retrospective review of 570 cases compared theatre data with Health Board computer records. Only 333 (58%) were appropriately documented, confirming the unreliability of studies based on hospital-generated data. In a prospective study, 582 patients were followed for 3 months. Of those admitted from home, 64% returned to the community; of those walking without a stick before fracture, 20% remained mobile without support after fracture. Poor mobility before fracture was associated with a higher mortality, but mortality was independent of either fracture type or operative procedure. Acute hospital mortality was low at 3.8% but increased throughout convalescence to 18.7% at 3 months. Continuing audit of this expanding group is necessary as a guide for resource allocation, as well as improving clinical standards and comparing results.
股骨颈骨折对骨科资源的需求日益增加。对570例病例进行的回顾性研究将手术数据与卫生委员会的计算机记录进行了比较。只有333例（58%）有适当记录，证实了基于医院生成数据的研究的不可靠性。在一项前瞻性研究中，对582名患者进行了3个月的随访。那些从家中入院的患者中，64%回到了社区；那些骨折前无需拐杖行走的患者中，20%骨折后仍无需支撑可活动。骨折前活动能力差与较高的死亡率相关，但死亡率与骨折类型或手术方式无关。急性医院死亡率较低，为3.8%，但在整个康复过程中有所增加，3个月时升至18.7%。对这个不断扩大的群体持续进行审计很有必要，这可作为资源分配的指南，同时提高临床标准并比较结果。
