Early mortality after surgical fixation of hip fractures in the elderly
| العنوان: | Early mortality after surgical fixation of hip fractures in the elderly |
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| المؤلفون: | D. F. Finlayson, Alberto Gregori, K. Duncan, Graeme Holt, R. Smith |
| المصدر: | The Journal of Bone and Joint Surgery. British volume. :1357-1363 |
| بيانات النشر: | British Editorial Society of Bone & Joint Surgery, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Male, Clinical audit, medicine.medical_specialty, Audit, Logistic regression, Fracture Fixation, Internal, Outcome Assessment, Health Care, Epidemiology, Fracture fixation, medicine, Humans, Orthopedics and Sports Medicine, Sex Distribution, Aged, Aged, 80 and over, Hip fracture, Clinical Audit, Hip Fractures, business.industry, Regression analysis, Middle Aged, medicine.disease, Treatment Outcome, Scotland, Orthopedic surgery, Quality of Life, Physical therapy, Osteoporosis, Female, Surgery, Epidemiologic Methods, business |
| الوصف: | We investigated the relationship between a number of patient and management variables and mortality after surgery for fracture of the hip. Data relating to 18 817 patients were obtained from the Scottish Hip Fracture Audit database. We divided variables into two categories, depending on whether they were case-mix (age; gender; fracture type; pre-fracture residence; pre-fracture mobility and ASA scores) or management variables (time from fracture to surgery; time from admission to surgery; grade of surgical and anaesthetic staff undertaking the procedure and anaesthetic technique). Multivariate logistic regression analysis showed that all case-mix variables were strongly associated with post-operative mortality, even when controlling for the effects of the remaining variables. Inclusion of the management variables into the case-mix base regression model provided no significant improvement to the model. Patient case-mix variables have the most significant effect on post-operative mortality and unfortunately such variables cannot be modified by pre-operative medical interventions. |
| تدمد: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.90b10.21328 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5246bf46a06889619a9b7e4b765cc576 https://doi.org/10.1302/0301-620x.90b10.21328 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....5246bf46a06889619a9b7e4b765cc576 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20445377 0301620X |
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| DOI: | 10.1302/0301-620x.90b10.21328 |