No ticking time bomb: Hospital utilisation of 28,528 hip fracture patients in Stockholm during 1998-2007
No ticking time bomb: Hospital utilisation of 28,528 hip fracture patients in Stockholm during 1998-2007
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DOI：
10.1177/1403494810370232
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发表时间：
2010-06-01
影响因子：
3.4
通讯作者：
Brommels, M.
中科院分区：
文献类型：
--
作者：
Lofgren, S.;Ljunggren, G.;Brommels, M.
目的：目的是展示1998年至2007年期间斯德哥尔摩髋部骨折患者对医院护理的利用情况如何变化，并探索一些人口统计学和临床特征以及患者手术治疗的变化。方法：斯德哥尔摩县患者护理登记册涵盖了该地区的所有公共医疗服务。确定了1998年至2007年因髋部骨折（ICD-10代码S72.0、S72.1、S72.2）住院并接受髋部手术（NCSP代码NFB 09 -99和NFJ 39 -99）的所有患者。根据年龄和性别对住院次数、手术次数、死亡次数和住院时间进行分类，并以每年的绝对和相对数量表示。计算了按性别和性别标准化的年发病率数字。结果：共有28，528名患者（72.2%女性，27.8%男性）因髋部骨折住院。在研究期间，除85岁及以上的男性外，所有年龄组的年度人数都有所下降。年龄和性别标准化的髋部骨折发生率下降了16%。死亡率略有下降。急性护理住院时间下降了1.4天至7.0天，整个医院事件增加了1.4天至17.3天。结论：尽管1998-2007年期间老年人人数持续增加，但病人人数及其对医院服务的利用率保持不变，65岁以上妇女的人数明显减少。与国家统计数据的比较表明，结果可以推广到瑞典。
Aim: The objectives were to show how utilisation of hospital care among hip fracture patients has changed in Stockholm during 1998-2007 and to explore changes in some demographic and clinical characteristics as well as surgical treatment of the patients. Methods: The Stockholm County Patient Care Register covers all public healthcare services in the region. All patients from 1998 to 2007 who had a hospital stay due to a hip fracture (ICD-10 codes S72.0, S72.1, S72.2) and had undergone hip surgery (NCSP codes NFB09-99 and NFJ39-99) were identified. Number of hospital stays, surgical procedures, deaths, and length of hospital stay were categorised according to age and sex, and presented as absolute and relative numbers year by year. Age-and sex-standardised annual incidence figures were calculated. Results: A total of 28,528 patients (72.2% women, 27.8% men) were hospitalised due to a hip fracture. The annual numbers decreased during the study period in all age groups except men 85 years and older. The age-and sex-standardised hip fracture incidence fell with 16%. Mortality was slightly reduced. The acute care hospital length of stay fell with 1.4 days to 7.0 days, and the whole hospital episode increased by 1.4 days to 17.3 days. Conclusions: Despite a continued increase in the numbers of elderly during 1998-2007, the number of patients and their utilisation of hospital services remained constant and showed a marked decrease in women over 65 years of age. Comparisons with national statistics indicate that the results can be generalised to Sweden.