Differences in complications and length of stay between patients with a hip fracture treated in an orthopaedic department and patients treated in other hospital departments

Journal of Orthopaedic Nursing

Volumn 12, Issue 1, 2008, Pages 13-25

  Hommel, Ami ^a,b   Bjorkelund, Karin B ^a   Thorngren, Karl Göran ^b   Ulander, Kerstin ^c  

^a LUND UNIVERSITY   (Sweden)

^b LUND UNIVERSITY HOSPITAL   (Sweden)

^c KRISTIANSTAD UNIVERSITY   (Sweden)

Author keywords

Clinical pathway; Hip fracture; Length of stay; Orthopaedic wards; Outliers; Postoperative complications; Rehabilitation; Specialized wards

Indexed keywords

EID: 42649099344     PISSN: 13613111     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.joon.2007.11.001     Document Type: Article

References (59)

1. Aharonoff G.B., Koval K.J., Skovron M.L., and Zuckerman J.D. Hip fractures in the elderly: predictors of one year mortality. Journal of Orthopaedics and Traumatology 11 (1997) 162-165
2. Avenell, A., Handoll, H.H., 2000. Nutritional supplementation for hip fracture aftercare in the elderly. Cochrane Database Systematic Review, CD001880.
3. Avenell A., and Handoll H.H. A systematic review of protein and energy supplementation for hip fracture aftercare in older people. European Journal of Clinical Nutrition 57 (2003) 895-903
4. Bacon W.E., Maggi S., Looker A., Harris T., Nair C.R., Giaconi J., Honkanen R., Ho S.C., Peffers K.A., Torring O., Gass R., and Gonzalez N. International comparison of hip fracture rates in 1988-89. Osteoporosis International 6 (1996) 69-75
5. Beaupre L.A., Cinats J.G., Senthilselvan A., Lier D., Jones C.A., Scharfenberger A., Johnston D.W., and Saunders L.D. Reduced morbidity for elderly patients with a hip fracture after implementation of a perioperative evidence-based clinical pathway. Quality & Safety in Health Care 15 (2006) 375-379
6. Bottle A., and Aylin P. Mortality associated with delay in operation after hip fracture: observational study. British Medical Journal 332 (2006) 947-951
7. Brannstrom B., Gustafson Y., Norberg A., and Winblad B. Problems of basic nursing care in acutely confused and non-confused hip-fracture patients. Scandinavian Journal of Caring Sciences 3 (1989) 27-34
8. Clayer M., and Bruckner J. Occult hypoxia after femoral neck fracture and elective hip surgery. Clinical Orthopaedics and Related Research (2000) 265-271
9. Cumming R.G., Nevitt M.C., and Cummings S.R. Epidemiology of hip fractures. Epidemiologic Reviews 19 (1997) 244-257
10. Ek A.C., and Bjurulf P. Interrater variability in a modified Norton Scale. Scandinavian Journal of Caring Sciences 1 (1987) 99-102
11. Ek A.C., Unosson M., and Bjurulf P. The modified Norton scale and the nutritional state. Scandinavian Journal of Caring Sciences 3 (1989) 183-187
12. Elliott J., Beringer T., Kee F., Marsh D., Willis C., and Stevenson M. Predicting survival after treatment for fracture of the proximal femur and the effect of delays to surgery. Journal of Clinical Epidemiology 56 (2003) 788-795
13. Endo Y., Aharonoff G.B., Zuckerman J.D., Egol K.A., and Koval K.J. Gender differences in patients with hip fracture: a greater risk of morbidity and mortality in men. Journal of Orthopaedic Trauma 19 (2005) 29-35
14. Fox H.J., Pooler J., Prothero D., and Bannister G.C. Factors affecting the outcome after proximal femoral fractures. Injury 25 (1994) 297-300
15. Freeman C., Todd C., Camilleri-Ferrante C., Laxton C., Murrell P., Palmer C.R., Parker M., Payne B., and Rushton N. Quality improvement for patients with hip fracture: experience from a multi-site audit. Quality & Safety in Health Care 11 (2002) 239-245
16. Gilchrist W.J., Newman R.J., Hamblen D.L., and Williams B.O. Prospective randomised study of an orthopaedic geriatric inpatient service. British Medical Journal 297 (1988) 1116-1118
17. Grimes J.P., Gregory P.M., Noveck H., Butler M.S., and Carson J.L. The effects of time-to-surgery on mortality and morbidity in patients following hip fracture. American Journal of Medicine 112 (2002) 702-709
18. Gruson K.I., Aharonoff G.B., Egol K.A., Zuckerman J.D., and Koval K.J. The relationship between admission haemoglobin level and outcome after hip fracture. Journal of Orthopaedic Trauma 16 (2002) 39-44
19. Gullberg B., Johnell O., and Kanis J.A. World-wide projections for hip fracture. Osteoporosis International 7 (1997) 407-413
20. Gustafson Y., Brannstrom B., Berggren D., Ragnarsson J.I., Sigaard J., Bucht G., Reiz S., Norberg A., and Winblad B. A geriatric-anesthesiologic program to reduce acute confusional states in elderly patients treated for femoral neck fractures. Journal of the American Geriatrics Society 39 (1991) 655-662
21. Hamlet W.P., Lieberman J.R., Freedman E.L., Dorey F.J., Fletcher A., and Johnson E.E. Influence of health status and the timing of surgery on mortality in hip fracture patients. American Journal of Orthopedics 26 (1997) 621-627
22. Hoerer D., Volpin G., and Stein H. Results of early and delayed surgical fixation of hip fractures in the elderly: a comparative retrospective study. Bulletin (Hospital for Joint Diseases New York) 53 (1993) 29-33
23. Hommel A., Ulander K., and Thorngren K.G. Improvements in pain relief, handling time and pressure ulcers through internal audits of hip fracture patients. Scandinavian Journal of Caring Sciences 17 (2003) 78-83
24. Johnstone D.J., Morgan N.H., Wilkinson M.C., and Chissell H.R. Urinary tract infection and hip fracture. Injury 26 (1995) 89-91
25. Khaw K.T. How many, how old, how soon?. BMJ 319 (1999) 1350-1352
26. Koval K.J., Chen A.L., Aharonoff G.B., Egol K.A., and Zuckerman J.D. Clinical pathway for hip fractures in the elderly: the Hospital for Joint Diseases experience. Clinical Orthopaedics and Related Research (2004) 72-81
27. Lawrence V.A., Hilsenbeck S.G., Noveck H., Poses R.M., and Carson J.L. Medical complications and outcomes after hip fracture repair. Archives of Internal Medicine 162 (2002) 2053-2057
28. Liporace F.A., Egol K.A., Tejwani N., Zuckerman J.D., and Koval K.J. What's new in hip fractures? Current concepts. American Journal of Orthopedics 34 (2005) 66-74
29. Lundstrom M., Edlund A., Bucht G., Karlsson S., and Gustafson Y. Dementia after delirium in patients with femoral neck fractures. Journal of the American Geriatrics Society 51 (2003) 1002-1006
30. Mackenzie D.G., Wild S., and Muir R. Mortality associated with delay in operation after hip fracture: Scottish data provide additional information. British Medical Journal 332 (2006) 1093
31. Manninger J., Kazar G., Fekete G., Nagy E., Zolczer L., and Frenyo S. Avoidance of avascular necrosis of the femoral head, following fractures of the femoral neck, by early reduction and internal fixation. Injury 16 (1985) 437-448
32. McGuire K.J., Bernstein J., Polsky D., and Silber J.H. The 2004 Marshall Urist award: delays until surgery after hip fracture increases mortality. Clinical Orthopaedics and Related Research (2004) 294-301
33. McLaughlin M.A., Orosz G.M., Magaziner J., Hannan E.L., McGinn T., Morrison R.S., Hochman T., Koval K., Gilbert M., and Siu A.L. Preoperative status and risk of complications in patients with hip fracture. Journal of General Internal Medicine 21 (2006) 219-225
34. Milisen K., Abraham I.L., and Broos P.L. Postoperative variation in neurocognitive and functional status in elderly hip fracture patients. Journal of Advanced Nursing 27 (1998) 59-67
35. Nawata K., Nitta A., Watanabe S., and Kawabuchi K. An analysis of the length of stay and effectiveness of treatment for hip fracture patients in Japan: evaluation of the 2002 Revision of the Medical Service Fee Schedule. Journal of Health Economics 25 (2006) 722-739
36. Oldmeadow L.B., Edwards E.R., Kimmel L.A., Kipen E., Robertson V.J., and Bailey M.J. No rest for the wounded: early ambulation after hip surgery accelerates recovery. ANZ Journal of Surgery 76 (2006) 607-611
37. Olsson L.E., Karlsson J., and Ekman I. The integrated care pathway reduced the number of hospital days by half: a prospective comparative study of patients with acute hip fracture. Journal of Orthopaedic Surgery 1 (2006) 3
38. Parker M., and Johansen A. Hip fracture. British Medical Journal 333 (2006) 27-30
39. Parker M.J., Pryor G.A., and Myles J. 11-year results in 2,846 patients of the Peterborough Hip Fracture Project: reduced morbidity, mortality and hospital stay. Acta Orthopedica Scandinavica 71 (2000) 34-38
40. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society 23 (1975) 433-441
41. Roberts S.E., and Goldacre M.J. Time trends and demography of mortality after fractured neck of femur in an English population, 1968-98: database study. British Medical Journal 327 (2003) 771-775
42. Roberts H.C., Pickering R.M., Onslow E., Clancy M., Powell J., Roberts A., Hughes K., Coulson D., and Bray J. The effectiveness of implementing a care pathway for femoral neck fracture in older people: a prospective controlled before and after study. Age Ageing 33 (2004) 178-184
43. Roche J.J., Wenn R.T., Sahota O., and Moran C.G. Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study. British Medical Journal 331 (2005) 1374
44. Schroder H.M., and Erlandsen M. Age and sex as determinants of mortality after hip fracture: 3,895 patients followed for 2.5-18.5 years. Journal of Orthopaedic Trauma 7 (1993) 525-531
45. Sexson S.B., and Lehner J.T. Factors affecting hip fracture mortality. Journal of Orthopaedic Trauma 1 (1987) 298-305
46. Siegmeth A.W., Gurusamy K., and Parker M.J. Delay to surgery prolongs hospital stay in patients with fractures of the proximal femur. Journal Bone and Joint Surgery British 87 (2005) 1123-1126
47. Sorbie C. Arthroplasty in the treatment of subcapital hip fracture. Orthopedics 26 (2003) 337-341 quiz 342-333
48. Sund R., and Liski A. Quality effects of operative delay on mortality in hip fracture treatment. Quality & Safety in Health Care 14 (2005) 371-377
49. Szita J., Cserhati P., Bosch U., Manninger J., Bodzay T., and Fekete K. Intracapsular femoral neck fractures: the importance of early reduction and stable osteosynthesis. Injury 33 Suppl. 3 (2002) C41-C46
50. Tierney A.J. Undernutrition and elderly hospital patients: a review. Journal of Advanced Nursing 23 (1996) 228-236
51. Tinetti M.E., Baker D.I., Garrett P.A., Gottschalk M., Koch M.L., and Horwitz R.I. Yale FICSIT: risk factor abatement strategy for fall prevention. Journal of the American Geriatrics Society 41 (1993) 315-320
52. Titler M.G., Herr K., Schilling M.L., Marsh J.L., Xie X.J., Ardery G., Clarke W.R., and Everett L.Q. Acute pain treatment for older adults hospitalized with hip fracture: current nursing practices and perceived barriers. Applied Nursing Research 16 (2003) 211-227
53. Todd C.J., Palmer C., Camilleri-Ferrante C., Freeman C.J., Laxton C.E., Parker M.J., Payne B.V., and Rushton N. Differences in mortality after fracture of hip. British Medical Journal 311 (1995) 1025
54. Trombetti A., Herrmann F., Hoffmeyer P., Schurch M.A., Bonjour J.P., and Rizzoli R. Survival and potential years of life lost after hip fracture in men and age-matched women. Osteoporosis International 13 (2002) 731-737
55. Vidal E.I., Coeli C.M., Pinheiro R.S., and Camargo Jr. K.R. Mortality within 1 year after hip fracture surgical repair in the elderly according to postoperative period: a probabilistic record linkage study in Brazil. Osteoporosis International 17 (2006) 1569-1576
56. von Heideken Wagert P., Gustavsson J.M., Lundin-Olsson L., Kallin K., Nygren B., Lundman B., Norberg A., and Gustafson Y. Health status in the oldest old. Age and sex differences in the Umea 85 + Study. Aging Clinical and Experimental Research 18 (2006) 116-126
57. Wolters U., Wolf T., Stutzer H., and Schroder T. ASA classification and perioperative variables as predictors of postoperative outcome. British Journal of Anaesthesia 77 (1996) 217-222
58. Zuckerman J.D. Hip fracture. The New England Journal of Medicine 334 (1996) 1519-1525
59. Zuckerman J.D., Koval K.J., Aharonoff G.B., Hiebert R., and Skovron M.L. A functional recovery score for elderly hip fracture patients: I. Development. Journal of Orthopedic Trauma 14 (2000) 20-25