Dedicated hip fracture services: a systematic review.

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Abstrakt

Tytuł:: Dedicated hip fracture services: a systematic review.
Autorzy:: Moore P; Department of Orthopaedic Surgery, Hornsby Ku-Ring-Gai Hospital, Hornsby, New South Wales, Australia.
An VVG; Department of Orthopaedic Surgery, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
Nandapalan H; Department of Orthopaedic Surgery, Hawkesbury Hospital, Windsor, New South Wales, Australia.
Sivakumar B; Department of Orthopaedic Surgery, Hornsby Ku-Ring-Gai Hospital, Hornsby, New South Wales, Australia.
Źródło:: ANZ journal of surgery [ANZ J Surg] 2021 Oct; Vol. 91 (10), pp. 2163-2166. Date of Electronic Publication: 2021 Jun 03.
Typ publikacji:: Journal Article; Systematic Review
Język:: English
Imprint Name(s):: Publication: Carlton, Victoria, Australia : Wiley-Blackwell Publishing Asia
Original Publication: Carlton, Victoria, Australia : Blackwell Science Asia on behalf of the Royal Australasian College of Surgeons, c2001-
MeSH Terms:: Hip Fractures*/epidemiology
Hip Fractures*/surgery
Humans ; Odds Ratio
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Contributed Indexing:: Keywords: hip fracture service; hip fractures; orthopaedic surgery
Entry Date(s):: Date Created: 20210604 Date Completed: 20211101 Latest Revision: 20211101
Update Code:: 20240105
DOI:: 10.1111/ans.16989
PMID:: 34085394
: Czasopismo naukowe

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Background: Hip fractures (HFs) are common and pose a significant burden to both the individual and the community. Prompt operative management and aggressive rehabilitation have been shown to improve outcomes. However, there is often a delay in treatment due to lack of theatre availability and appropriate perioperative multi-disciplinary care. This study reviews the literature and reports on outcomes of HFs treated in dedicated units with allocated theatre time and pre-determined multi-disciplinary perioperative pathways. It also provides comparison against outcomes data from HF registries, both domestically and internationally.
Methods: An electronic literature search was performed to identify original, English language studies reporting on patient outcomes from dedicated HF units (HFUs). Studies were graded using the Journal of Bone and Joint Surgery criteria. Data were extracted from the text, table and figures of the selected studies.
Results: Five appropriate studies, with a total cohort of 6633 patients (4032 of whom were treated in a dedicated HFU), were identified. Patients treated in these units sustained a lower mortality rate (Risk Ratio = 0.62, p = 0.01).
Conclusions: This review demonstrates that centres with dedicated HFUs result in improved 30-day mortality. Further research may demonstrate more sustained improvements in outcomes. The implementation of dedicated HFUs within health systems should be considered.
(© 2021 Royal Australasian College of Surgeons.)

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