Mohamed Mohamed, Patel Dhawal, Zhao Sizheng, Ballal Moeez S, Scott Simon
Aintree University Hospital, UK.
Leicester Royal Infirmary, UK.
Open Orthop J. 2015 Aug 31;9:412-7. doi: 10.2174/1874325001509010412. eCollection 2015.
Neck of Femur (NOF) fracture is a common injury with high mortality that all orthopaedic departments must contend with [1]. The aim of this study was to report incidence and mortality of NOF fractures occurring while patients were being admitted to hospital for other conditions.
A retrospective review was performed of all NOF fracture admissions between 1(st) of Jan 2010 to 31(st) of Dec 2012 at a University Hospital trauma centre. Fractures were divided according to the location where the fracture occurred, either in the community (acute NOF) or in-hospital (in-hospital NOF).
In-hospital mortality, 30-day, 90-day and 1 year mortality were recorded. There were 1086 patients in the acute NOF fracture group (93.9%) and 70 patients in the in-hospital group (6.1%) over three years. The odds of inpatient death was 2.25 times higher for inpatient NOFs (p=0.012). 86% of all in-hospital NOF fractures occurred on medical and rehabilitation wards. NOF fractures result in increased mortality and morbidity.
All patients in hospital should be assessed to identify those at high risk of falls and implemented measures should be taken to reduce this.
股骨颈（NOF）骨折是一种常见且死亡率高的损伤，所有骨科科室都必须应对[1]。本研究的目的是报告患者因其他疾病住院期间发生的NOF骨折的发生率和死亡率。
对2010年1月1日至2012年12月31日期间在某大学医院创伤中心收治的所有NOF骨折患者进行回顾性研究。骨折根据发生部位分为社区骨折（急性NOF）或院内骨折（院内NOF）。
记录了院内死亡率、30天、90天和1年死亡率。三年间，急性NOF骨折组有1086例患者（93.9%），院内组有70例患者（6.1%）。院内NOF患者的住院死亡几率高出2.25倍（p = 0.012）。所有院内NOF骨折中86%发生在内科和康复病房。NOF骨折会导致死亡率和发病率增加。
应对所有住院患者进行评估，以识别那些跌倒风险高的患者，并应采取措施降低风险。
