A König-Leischnig1,2,3, J Klewer4, B Karich5,6, K Richter5. 1. Fakultät für Gesundheits- und Pflegewissenschaften, Westsächsische Hochschule Zwickau, Zwickau, Deutschland. Anne.Koenig@hbk-zwickau.de. 2. Alterstraumazentrum, Heinrich-Braun-Klinikum Zwickau, Zwickau, Deutschland. Anne.Koenig@hbk-zwickau.de. 3. Klinik für Unfallchirurgie und Physikalische Medizin, Heinrich-Braun-Klinikum Zwickau, Karl-Keil-Straße 35, 08060, Zwickau, Deutschland. Anne.Koenig@hbk-zwickau.de. 4. Fakultät für Gesundheits- und Pflegewissenschaften, Westsächsische Hochschule Zwickau, Zwickau, Deutschland. 5. Alterstraumazentrum, Heinrich-Braun-Klinikum Zwickau, Zwickau, Deutschland. 6. Klinik für Unfallchirurgie und Physikalische Medizin, Heinrich-Braun-Klinikum Zwickau, Karl-Keil-Straße 35, 08060, Zwickau, Deutschland.
Abstract
BACKGROUND/AIMS: Proximal femoral fractures are one of the most frequently occurring injuries among elderly people. High rates of inpatient treatment indicate the importance of optimized clinical care. OBJECTIVES: Based on selected outcome parameters in elderly trauma patients with proximal femoral fractures, the current situation of medical care in a trauma center for geriatric patients is presented. METHODS: For a descriptive evaluation of outcome parameters, 250 patients aged 70 years and older have been included. A clinical register of a trauma center for the elderly served as the database. RESULTS: The average length of stay was approximately 25 days. Sixty-seven percent of the patients underwent surgical treatment within 24 h of admission to the hospital. More than half of the patients were taking anticoagulant drugs. Around 18 % of patients presented with one or more complications. Mortality rate was 5.2 %. Thirty-two percent of those patients who had been living at home before admission had been discharged to a nursing home. DISCUSSION AND CONCLUSIONS: Analyzing the data of a trauma registry enables critical reflection upon the clinical outcome of interdisciplinary treatment procedures. The low rate of mortality may be a result of the geriatric co-treatment, starting right from admission. It remains unclear whether the influence of preoperative interdisciplinary treatment outweighs the effect of a timely surgical procedure.
BACKGROUND/AIMS: Proximal femoral fractures are one of the most frequently occurring injuries among elderly people. High rates of inpatient treatment indicate the importance of optimized clinical care. OBJECTIVES: Based on selected outcome parameters in elderly traumapatients with proximal femoral fractures, the current situation of medical care in a trauma center for geriatric patients is presented. METHODS: For a descriptive evaluation of outcome parameters, 250 patients aged 70 years and older have been included. A clinical register of a trauma center for the elderly served as the database. RESULTS: The average length of stay was approximately 25 days. Sixty-seven percent of the patients underwent surgical treatment within 24 h of admission to the hospital. More than half of the patients were taking anticoagulant drugs. Around 18 % of patients presented with one or more complications. Mortality rate was 5.2 %. Thirty-two percent of those patients who had been living at home before admission had been discharged to a nursing home. DISCUSSION AND CONCLUSIONS: Analyzing the data of a trauma registry enables critical reflection upon the clinical outcome of interdisciplinary treatment procedures. The low rate of mortality may be a result of the geriatric co-treatment, starting right from admission. It remains unclear whether the influence of preoperative interdisciplinary treatment outweighs the effect of a timely surgical procedure.
Entities:
Keywords:
Clinical register; Outcome; Proximal femoral fractures; Trauma center for elderly; Traumatology
Authors: T Mitterlechner; P Innerhofer; W Streif; M Lödl; T Danninger; G Klima; K Hansson; D Fries Journal: J Thromb Haemost Date: 2011-04 Impact factor: 5.824
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