Increased Mortality Amongst Patients Sustaining Neck of Femur Fractures as In-Patients in a Trauma Centre.



Mohamed, Mohamed, Patel, Dhawal, Zhao, Sizheng ORCID: 0000-0002-3558-7353, Ballal, Moeez S and Scott, Simon
(2015) Increased Mortality Amongst Patients Sustaining Neck of Femur Fractures as In-Patients in a Trauma Centre. The open orthopaedics journal, 9 (1). pp. 412-417.

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Abstract

<h4>Purpose</h4>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.<h4>Methods</h4>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).<h4>Results</h4>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.<h4>Conclusion</h4>All patients in hospital should be assessed to identify those at high risk of falls and implemented measures should be taken to reduce this.

Item Type: Article
Uncontrolled Keywords: ASA grade, hospital fractures, mortality, neck of femur fracture
Depositing User: Symplectic Admin
Date Deposited: 01 Feb 2016 12:11
Last Modified: 17 Dec 2022 01:17
DOI: 10.2174/1874325001509010412
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/2049501