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- Title
Mortality and morbidity of neck of femur fractures: A comparison between Orange and peripheral centres.
- Authors
Marshall, Timothy; Suthersan, Mayuran; Chan, Mun Khin; Jenkins, Bridget; Toh, Mingzhou; Giddins, Vanessa; Jones, Evan
- Abstract
Objective The aim of this study is to examine and compare the mortality and morbidity of patients with neck of femur ( NOF) fracture who presented initially to either Orange Health Service ( OHS), a secondary orthopaedic referral centre or to a peripheral hospital and subsequently transferred to OHS. Design, setting and participants This study is designed as a retrospective review of medical records of 151 patients with NOF fractures who were treated operatively between March 2013 and March 2014 at OHS. Patients were divided into OHS group and 'Other' group based on their initial presenting location. Main outcome measures Mortality, unplanned intensive care unit/high dependency unit admissions, ischemic heart/cerebral events, infection rates and length of stay. Results There was no statistically significant difference in mortality and morbidity proportions between both groups. There were significant differences between lengths of stay in the acute setting which was shorter in the 'Other' group. Conclusion Contrary to the literature, this study found that the morbidity and mortality outcomes of patients with NOF fracture who presented initially to rural hospitals were equivalent to those who presented to a secondary orthopaedic referral centre. However, those who first presented to rural hospitals had a shorter duration of stay in the acute setting.
- Subjects
NEW South Wales; FEMUR neck; TREATMENT of fractures; HIP joint injury treatment; AGE distribution; CHI-squared test; COMPARATIVE studies; STATISTICAL correlation; DISEASES; BONE fractures; HIP joint injuries; LENGTH of stay in hospitals; EVALUATION of medical care; REGRESSION analysis; RURAL hospitals; SAMPLE size (Statistics); RETROSPECTIVE studies; DATA analysis software; TREATMENT delay (Medicine); SECONDARY care (Medicine); MANN Whitney U Test; WOUNDS &; injuries
- Publication
Australian Journal of Rural Health, 2016, Vol 24, Issue 4, p253
- ISSN
1038-5282
- Publication type
Article
- DOI
10.1111/ajr.12255