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Length of hospital stay following hip fracture and risk of 30 and 90 day mortality in a United Kingdom cohort / Hassaan Q. Sheikh in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Length of hospital stay following hip fracture and risk of 30 and 90 day mortality in a United Kingdom cohort Type de document : texte imprimé Auteurs : Hassaan Q. Sheikh ; Amro Alnahhal ; Adeel Aquil Année de publication : 2021 Article en page(s) : p. 607-617 Note générale : https://doi.org/10.52628/87.4.05 Langues : Anglais (eng) Mots-clés : length of stay hip fracture proximal femur fracture epidemiology mortality Résumé : A recent study identified a length of stay (LOS) of 10 days or less following hip fracture is associated with increased risk of 30-day mortality. This effect has not been previously studied for 90-day mortality or in the United Kingdom (UK). Our aim was to investigate the effect of LOS on 30-day and 90-day mortality following hip fracture in a UK population. In this single-centre study, we retrospectively identified consecutive patients with a hip fracture from the National Hip Fracture Database over 3 years. We excluded patients who died as inpatient during their index admission. The main end-points were 30-day and 90-day mortalities and risk factors for these were examined using stepwise univariate and multivariate Cox regression analyses. Of 1228 patients, mortality at 30-days was 1.2% (15 patients) and 7.8% (96 patients) at 90-days. Mean LOS was 24 days and a total of 206 patients had a LOS of 10 days or less. Following cariate analysis, the highest risk factor for 30-day mortality was a LOS of 10 days or less with a hazard ratio of 7.26 (95% confidence interval 2.56-20.51). Other risk factors for 30-day mortality included increasing age, male gender and chest infection. A LOS of 10 days or less was not associated with increased mortality at 90-days. A short LOS was associated with higher risk of early mortality. We recommend that hip fracture patients be fully rehabilitated prior to discharge to reduce the risk of early mortality. Permalink : ./index.php?lvl=notice_display&id=102010
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 607-617[article] Length of hospital stay following hip fracture and risk of 30 and 90 day mortality in a United Kingdom cohort [texte imprimé] / Hassaan Q. Sheikh ; Amro Alnahhal ; Adeel Aquil . - 2021 . - p. 607-617.
https://doi.org/10.52628/87.4.05
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 607-617
Mots-clés : length of stay hip fracture proximal femur fracture epidemiology mortality Résumé : A recent study identified a length of stay (LOS) of 10 days or less following hip fracture is associated with increased risk of 30-day mortality. This effect has not been previously studied for 90-day mortality or in the United Kingdom (UK). Our aim was to investigate the effect of LOS on 30-day and 90-day mortality following hip fracture in a UK population. In this single-centre study, we retrospectively identified consecutive patients with a hip fracture from the National Hip Fracture Database over 3 years. We excluded patients who died as inpatient during their index admission. The main end-points were 30-day and 90-day mortalities and risk factors for these were examined using stepwise univariate and multivariate Cox regression analyses. Of 1228 patients, mortality at 30-days was 1.2% (15 patients) and 7.8% (96 patients) at 90-days. Mean LOS was 24 days and a total of 206 patients had a LOS of 10 days or less. Following cariate analysis, the highest risk factor for 30-day mortality was a LOS of 10 days or less with a hazard ratio of 7.26 (95% confidence interval 2.56-20.51). Other risk factors for 30-day mortality included increasing age, male gender and chest infection. A LOS of 10 days or less was not associated with increased mortality at 90-days. A short LOS was associated with higher risk of early mortality. We recommend that hip fracture patients be fully rehabilitated prior to discharge to reduce the risk of early mortality. Permalink : ./index.php?lvl=notice_display&id=102010 Réservation
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DisponibleThe majority of conversion total hip arthroplasties can be considered primary replacements - a matched cohort study / Georges Vles in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : The majority of conversion total hip arthroplasties can be considered primary replacements - a matched cohort study Type de document : texte imprimé Auteurs : Georges Vles ; Luke Simmonds ; Mark Roussot ; Andrea Volpin ; Fares Haddad ; Sujith Konan Année de publication : 2021 Article en page(s) : p. 17-23 Note générale : https://doi.org/10.52628/87.1.03 Langues : Anglais (eng) Mots-clés : Proximal femur fracture Total Hip Arthroplasty Conversion Primary Revision Matched cohort study Résumé : The success of conversion Total Hip Arthroplasty (THA) among primary THA and revision THA re- mains unclear. We hypothesized that most conversion THAss can be performed using primary implants and will have an uncomplicated post-operative course. Thirty-six patients (23 females, mean age 68,0y) who underwent conversion THA for failed interventions for proximal femur fractures in the period 2006-2018 were matched sequentially against patients of the same sex and age who underwent primary THA or revision THA. Data was collected on implants used, major complications, and mortality. PROMs used included the Western Ontario and McMaster Osteoarthritis Index, Harris Hip Score, Visual Analogue Scale and the EQ-5D Health Questionnaire. Seventy- two percent of patients who underwent conversion THA were treated with primary implants and never suffered from a major complication. PROMs were excellent for this group of patients. The distinction primary / conversion / revision THA could not explain differences in outcomes, however the necessity of using revision implants and the development of major complications could. The majority of conversion total hip arthroplasties can be considered a primary replacement. Predicting outcomes for THA should focus on patient frailty and technical difficulties dealing with infection, stability and loss of bone stock and should discard the conversion versus revision terminology. Permalink : ./index.php?lvl=notice_display&id=96572
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 17-23[article] The majority of conversion total hip arthroplasties can be considered primary replacements - a matched cohort study [texte imprimé] / Georges Vles ; Luke Simmonds ; Mark Roussot ; Andrea Volpin ; Fares Haddad ; Sujith Konan . - 2021 . - p. 17-23.
https://doi.org/10.52628/87.1.03
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 17-23
Mots-clés : Proximal femur fracture Total Hip Arthroplasty Conversion Primary Revision Matched cohort study Résumé : The success of conversion Total Hip Arthroplasty (THA) among primary THA and revision THA re- mains unclear. We hypothesized that most conversion THAss can be performed using primary implants and will have an uncomplicated post-operative course. Thirty-six patients (23 females, mean age 68,0y) who underwent conversion THA for failed interventions for proximal femur fractures in the period 2006-2018 were matched sequentially against patients of the same sex and age who underwent primary THA or revision THA. Data was collected on implants used, major complications, and mortality. PROMs used included the Western Ontario and McMaster Osteoarthritis Index, Harris Hip Score, Visual Analogue Scale and the EQ-5D Health Questionnaire. Seventy- two percent of patients who underwent conversion THA were treated with primary implants and never suffered from a major complication. PROMs were excellent for this group of patients. The distinction primary / conversion / revision THA could not explain differences in outcomes, however the necessity of using revision implants and the development of major complications could. The majority of conversion total hip arthroplasties can be considered a primary replacement. Predicting outcomes for THA should focus on patient frailty and technical difficulties dealing with infection, stability and loss of bone stock and should discard the conversion versus revision terminology. Permalink : ./index.php?lvl=notice_display&id=96572 Exemplaires (1)
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