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What is the effect of orthopaedic and trauma surgical treatment on waiting time, length of hospital stay and mortality among patients with a hip fracture, specifically pertrochanteric hip fracture?

Roelofsen, Yvonne (2010) What is the effect of orthopaedic and trauma surgical treatment on waiting time, length of hospital stay and mortality among patients with a hip fracture, specifically pertrochanteric hip fracture?

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Abstract:Previous studies did not reach consensus about the optimal treatment of pertrochanteric hip fractures. Hip fracture patients are treated by a trauma surgeon or an orthopaedic surgeon. Which surgeon performs the surgery, initially depends on the working schedule at the Acute and Emergency Department. The surgeons use other techniques to fix the hip fracture. Orthopaedic surgeons are more likely to replace parts of the hip with prostheses, while trauma surgeons more often use osteosyntheses to repair the hip. The purpose of this study is to evaluate the effect of orthopaedic and trauma surgical treatment on length of hospital stay (LOS) and mortality among patients with a pertrochanteric hip fracture. In addition, the relation between ASA classification and waiting time between admission at the hospital and surgery will be evaluated, according to the performance indicator on time for treatment of hip fractures. This is a retrospective follow-up study. Hip fracture patients have been pseudo-randomized to an orthopaedic surgeon or a trauma surgeon. During a two-year period 485 patients with a hip fracture, of which 184 patients with a pertrochanteric hip fracture, have been included in the study population. For data collection, existing databases with patient information of the hospital have been used. Primary outcome parameters in the study are waiting time between admission at the hospital and surgery for all patients with a hip fracture, and length of hospital stay and mortality for patients with a pertrochanteric hip fracture. Data have been analyzed using SPSS version 18.0. Independent t-test, chi-squared test, Mann Whitney-U test and Cox regression have been used for analyses.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Health Sciences MSc (66851)
Keywords:Hip fracture, Pertrochanteric hip fracture, Waiting time, Mortality, Length of hospital stay
Link to this item:http://purl.utwente.nl/essays/60625
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