Orthogeriatric services associated with lower 30-day mortality for older patients who undergo surgery for hip fracture
Orthogeriatric services associated with lower 30-day mortality for older patients who undergo surgery for hip fracture
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DOI：
10.5694/mja14.00055
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发表时间：
2014-10-06
影响因子：
11.4
通讯作者：
Close, Jacqui
中科院分区：
文献类型：
--
作者：
Zeltzer, Justin;Mitchell, Rebecca J.;Close, Jacqui
目的：探讨正畸服务对新南威尔士州公立医院髋部骨折手术患者30天死亡率和住院时间(LOS)的影响。设计、背景和患者：对2009年7月1日至2011年6月30日在新南威尔士州37家公立医院接受手术治疗的65岁以上髋部骨折患者进行回顾性分析。主要观察指标：30天死亡率和住院天数。结果：在研究期间，共有9601例髋部骨折患者接受手术治疗。在有正畸服务的医院接受治疗的髋部骨折患者的平均年龄、性别和合并症分布与在没有正畸服务的医院接受治疗的患者相似。髋部骨折手术后30天内有706人死亡，总体未调整的30天死亡率为7.4%。有正畸服务的医院调整后30天死亡率中位数显著低于无正畸服务的医院(6.2%vs8.4%；P
Objective: To examine the impact of orthogeriatric services on 30-day mortality and length of stay (LOS) for hip fracture patients undergoing surgery in public hospitals in New South Wales.Design, setting and patients: A retrospective analysis of patients aged 65 years and older who had a fractured hip and received surgical intervention between 1 July 2009 and 30 June 2011 at one of the 37 NSW public hospitals operating on hip fracture patients.Main outcome measures: 30-day mortality and LOS.Results: During the study period, there were 9601 hip fracture cases for which surgery was done. Mean age, sex and comorbidity distribution were similar for hip fracture patients treated in hospitals with an orthogeriatric service compared with those treated in hospitals without an orthogeriatric service. There were 706 deaths within 30 days of hip fracture surgery, and the overall unadjusted 30-day mortality rate was 7.4%. The median adjusted 30-day mortality rate for hospitals with an orthogeriatric service was significantly lower than that for hospitals without an orthogeriatric service (6.2% v 8.4%; P