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Singapore Med J ; 58(5): 253-257, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-26915390

RESUMO

INTRODUCTION: The purpose of this study was to compare the clinical outcomes of elderly hip fracture patients who received surgical treatment with those who received non-surgical treatment. METHODS: This retrospective study involved 2,756 elderly patients with hip fractures who were admitted over a six-year period. The patients' biodata, complications, ambulatory status at discharge and length of hospital stay were obtained from the institution's hip fracture registry. RESULTS: Among the 2,756 hip fracture patients, 2,029 (73.6%) underwent surgical intervention, while 727 (26.4%) opted for non-surgical intervention. The complication rate among the patients who underwent surgical intervention was 6.6%, while that among the patients who underwent non-surgical intervention was 12.5% (p < 0.01). The mean length of hospital stay for the surgical and non-surgical hip fracture patients was 15.7 days and 22.4 days, respectively (p < 0.01). CONCLUSION: Surgical management of hip fractures among the elderly is associated with a lower complication rate, as well as a reduced length of hospital stay.


Assuntos
Fraturas do Quadril/cirurgia , Fraturas do Quadril/terapia , Tempo de Internação/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Feminino , Fraturas do Colo Femoral , Fraturas do Quadril/complicações , Fraturas do Quadril/mortalidade , Mortalidade Hospitalar , Hospitais , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia/complicações , Pneumonia/epidemiologia , Complicações Pós-Operatórias/epidemiologia , Sistema de Registros , Análise de Regressão , Estudos Retrospectivos , Singapura/epidemiologia , Resultado do Tratamento
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