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首页> 外文期刊>Geriatric orthopaedic surgery & rehabilitation. >Comparison of Complications and Length of Hospital Stay Between Orthopedic and Orthogeriatric Treatment in Elderly Patients With a Hip Fracture
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Comparison of Complications and Length of Hospital Stay Between Orthopedic and Orthogeriatric Treatment in Elderly Patients With a Hip Fracture

机译：老年髋部骨折患者骨科和骨科老年医学治疗的并发症和住院时间的比较

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Hip fractures in the elderly individuals are a complex problem. Our objective was to determine whether orthogeriatric treatment is effective in terms of?reducing length of hospital stay, morbidity, and mortality?of elderly patients with?a hip fracture compared with orthopedic (traditional) treatment. From?July 2009 to May 2011, patients older than 65 years with a hip fracture were followed?prospectively. They were co-treated by geriatric?and orthopedic teams.?This cohort?was compared with?a retrospective cohort?followed from January 2007?to June 2009?that was managed by the orthopedic surgery team only.?Epidemiology,?pre- and postoperative hematocrit,?and renal function were registered. Also, in-hospital and distant mortality data?(determined by?consulting the?national registry),?mortality-associated factors, postoperative complications, hospital stay?length, and transfers to other services were registered. One hundred and eighty-three patients in?the retrospective group?and 92 in?the prospective group?were included in this study with a?median follow-up of?26 months (interquartile range: 13-41).?The average?age was?84 years and 74% of patients were female. Intertrochanteric?fracture?accounted for 51%?of the cases.?There was no difference?between groups with regard to?hospital stay length, hematocrit?at discharge, in-hospital mortality, long-term survival, or?transfers to internal?medicine?or the intensive care unit.?It did show?differences in?the transfer?to the intermediate care unit,?prolonged hospitalizations (>20 days), and diagnosis?of?delirium and anemia requiring transfusion. In the present study, orthogeriatric treatment is slightly more effective than traditional treatment in terms of morbidity, but there is no difference in hospital stay length?or mortality. Further studies and longer follow-up are needed to draw more conclusions.
机译：老年人髋部骨折是一个复杂的问题。我们的目的是确定与老年骨科（传统）治疗相比，老年医学治疗在缩短髋部骨折老年患者的住院时间，发病率和死亡率方面是否有效。从2009年7月至2011年5月，对65岁以上髋部骨折的患者进行了随访。他们与老年和骨科团队共同治疗。该队列与“回顾性队列”（自2007年1月至2009年6月）进行比较，该回顾性队列仅由骨科手术团队进行管理。记录术后血细胞比容和肾功能。此外，还记录了院内和远处的死亡率数据（由咨询国家注册表确定），死亡率相关因素，术后并发症，住院天数和转移至其他服务的情况。这项回顾性研究包括回顾性组的183例患者和预期组的92例，中位随访时间为26个月（四分位数范围：13-41）。年龄为84岁，其中74％为女性。股骨转子间骨折占51％。两组之间的住院时间，出院时的血细胞比容，院内死亡率，长期生存率或转移至内部的差异无统计学意义。药物或重症监护病房。它的确显示出向中间病房的转移，住院时间延长（> 20天）以及需要输血的？妄和贫血的诊断存在差异。在本研究中，就发病率而言，老年医学治疗比传统治疗稍有效，但住院时间或死亡率没有差异。需要更多的研究和更长的随访来得出更多的结论。

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