RESEARCH ARTICLE
Increased Mortality Amongst Patients Sustaining Neck of Femur Fractures as In-Patients in a Trauma Centre
Mohamed Mohamed 1, Dhawal Patel*, 2, Sizheng Zhao 1, Moeez S Ballal 1, Simon Scott 1
Article Information
Identifiers and Pagination:
Year: 2015Volume: 9
First Page: 412
Last Page: 417
Publisher ID: TOORTHJ-9-412
DOI: 10.2174/1874325001509010412
Article History:
Received Date: 3/5/2015Revision Received Date: 8/7/2015
Acceptance Date: 22/7/2015
Electronic publication date: 31/8/2015
Collection year: 2015

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Abstract
Purpose:
Neck of Femur (NOF) fracture is a common injury with high mortality that all orthopaedic departments must contend with [1]. The aim of this study was to report incidence and mortality of NOF fractures occurring while patients were being admitted to hospital for other conditions.
Methods:
A retrospective review was performed of all NOF fracture admissions between 1st of Jan 2010 to 31st of Dec 2012 at a University Hospital trauma centre. Fractures were divided according to the location where the fracture occurred, either in the community (acute NOF) or in-hospital (in-hospital NOF).
Results:
In-hospital mortality, 30-day, 90-day and 1 year mortality were recorded. There were 1086 patients in the acute NOF fracture group (93.9%) and 70 patients in the in-hospital group (6.1%) over three years. The odds of inpatient death was 2.25 times higher for inpatient NOFs (p=0.012). 86% of all in-hospital NOF fractures occurred on medical and rehabilitation wards. NOF fractures result in increased mortality and morbidity.
Conclusion:
All patients in hospital should be assessed to identify those at high risk of falls and implemented measures should be taken to reduce this.