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
1 Aintree University Hospital, UK
2 Leicester Royal Infirmary, UK


Article Metrics

CrossRef Citations:
0
Total Statistics:

Full-Text HTML Views: 921
Abstract HTML Views: 666
PDF Downloads: 159
Total Views/Downloads: 1746
Unique Statistics:

Full-Text HTML Views: 602
Abstract HTML Views: 421
PDF Downloads: 117
Total Views/Downloads: 1140



© Mohamed et al.; Licensee Bentham Open.

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.

* Address correspondence to this author at the Leicester Royal Infirmary, UK; E-mail: dhawalpatel@hotmail.co.uk


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.

Keywords: ASA grade, hospital fractures, mortality, neck of femur fracture.