Skip to main content
NCBI home page
The Ulster Medical Journal logoLink to The Ulster Medical Journal
. 1991 Apr;60(1):28–34.

Outcome following proximal femoral fracture in the elderly female.

T R Beringer 1, D H Gilmore 1
PMCID: PMC2448637  PMID: 1853493

Abstract

Outcome after proximal femoral fracture was assessed in 89 elderly females. Mortality both in hospital and subsequent to discharge was identified, with a mortality rate of 13.5% at 30 days and 35% after one year. The median length of stay was 28 days, with 40% of subjects transferred for geriatric-orthopaedic care. Delay prior to surgery and its relationship to increased mortality was highlighted. The importance of the fracture population and its selection and influence on outcome is discussed, indicating the need for caution in comparative audit.

Full text

PDF
28

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baker M. R. An investigation into secular trends in the incidence of femoral neck fracture using hospital activity analysis. Public Health. 1980 Nov;94(6):368–374. doi: 10.1016/s0033-3506(80)80140-5. [DOI] [PubMed] [Google Scholar]
  2. Beringer T. R., McSherry D. M., Taggart H. M. A microcomputer based audit of fracture of the proximal femur in the elderly. Age Ageing. 1984 Nov;13(6):344–348. doi: 10.1093/ageing/13.6.344. [DOI] [PubMed] [Google Scholar]
  3. Boyce W. J., Vessey M. P. Rising incidence of fracture of the proximal femur. Lancet. 1985 Jan 19;1(8421):150–151. doi: 10.1016/s0140-6736(85)91915-4. [DOI] [PubMed] [Google Scholar]
  4. Boyd R. V., Compton E., Hawthorne J., Kemm J. R. Orthogeriatric rehabilitation ward in Nottingham: a preliminary report. Br Med J (Clin Res Ed) 1982 Oct 2;285(6346):937–938. doi: 10.1136/bmj.285.6346.937-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Bulstrode C. Keeping up with orthopaedic epidemics. Br Med J (Clin Res Ed) 1987 Aug 29;295(6597):514–514. doi: 10.1136/bmj.295.6597.514. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Burley L. E., Scorgie R. E., Currie C. T., Smith R. G., Williamson J. The Joint Geriatric Orthopaedic Service in South Edinburgh: November 1979-October 1980. Health Bull (Edinb) 1984 May;42(3):133–140. [PubMed] [Google Scholar]
  7. Dahl E. Mortality and life expectancy after hip fractures. Acta Orthop Scand. 1980 Feb;51(1):163–170. doi: 10.3109/17453678008990781. [DOI] [PubMed] [Google Scholar]
  8. Evans J. G. Fractured proximal femur in Newcastle upon Tyne. Age Ageing. 1979 Feb;8(1):16–24. doi: 10.1093/ageing/8.1.16. [DOI] [PubMed] [Google Scholar]
  9. Gilchrist W. J., Newman R. J., Hamblen D. L., Williams B. O. Prospective randomised study of an orthopaedic geriatric inpatient service. BMJ. 1988 Oct 29;297(6656):1116–1118. doi: 10.1136/bmj.297.6656.1116. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Harrington M. G., Brennan M., Hodkinson H. M. The first year of a geriatric-orthopaedic liaison service: an alternative to 'orthogeriatric' units? Age Ageing. 1988 Mar;17(2):129–133. doi: 10.1093/ageing/17.2.129. [DOI] [PubMed] [Google Scholar]
  11. Hempsall V. J., Robertson D. R., Campbell M. J., Briggs R. S. Orthopaedic geriatric care--is it effective? A prospective population-based comparison of outcome in fractured neck of femur. J R Coll Physicians Lond. 1990 Jan;24(1):47–50. [PMC free article] [PubMed] [Google Scholar]
  12. Kennie D. C., Reid J., Richardson I. R., Kiamari A. A., Kelt C. Effectiveness of geriatric rehabilitative care after fractures of the proximal femur in elderly women: a randomised clinical trial. BMJ. 1988 Oct 29;297(6656):1083–1086. doi: 10.1136/bmj.297.6656.1083. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Lewis A. F. Fracture of neck of the femur: changing incidence. Br Med J (Clin Res Ed) 1981 Nov 7;283(6301):1217–1220. doi: 10.1136/bmj.283.6301.1217. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Macafee A. L. Fractures of the femoral neck: some aspects of management in a fracture unit. Ulster Med J. 1969 Summer;38(2):129–137. [PMC free article] [PubMed] [Google Scholar]
  15. Magaziner J., Simonsick E. M., Kashner T. M., Hebel J. R., Kenzora J. E. Survival experience of aged hip fracture patients. Am J Public Health. 1989 Mar;79(3):274–278. doi: 10.2105/ajph.79.3.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Murphy P. J., Rai G. S., Lowy M., Bielawska C. The beneficial effects of joint orthopaedic-geriatric rehabilitation. Age Ageing. 1987 Sep;16(5):273–278. doi: 10.1093/ageing/16.5.273. [DOI] [PubMed] [Google Scholar]
  17. Pryor G. A., Myles J. W., Williams D. R., Anand J. K. Team management of the elderly patient with hip fracture. Lancet. 1988 Feb 20;1(8582):401–403. doi: 10.1016/s0140-6736(88)91192-0. [DOI] [PubMed] [Google Scholar]
  18. Reid J., Kennie D. C. Geriatric rehabilitative care after fractures of the proximal femur: one year follow up of a randomised clinical trial. BMJ. 1989 Jul 1;299(6690):25–26. doi: 10.1136/bmj.299.6690.25-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Robbins J. A., Donaldson L. J. Analysing stages of care in hospital stay for fractured neck of femur. Lancet. 1984 Nov 3;2(8410):1028–1029. doi: 10.1016/s0140-6736(84)91119-x. [DOI] [PubMed] [Google Scholar]
  20. Sikorski J. M., Davis N. J., Senior J. The rapid transit system for patients with fractures of proximal femur. Br Med J (Clin Res Ed) 1985 Feb 9;290(6466):439–443. doi: 10.1136/bmj.290.6466.439. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Villar R. N., Allen S. M., Barnes S. J. Hip fractures in healthy patients: operative delay versus prognosis. Br Med J (Clin Res Ed) 1986 Nov 8;293(6556):1203–1204. doi: 10.1136/bmj.293.6556.1203. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Wallace R. G., Lowry J. H., McLeod N. W., Mollan R. A. A simple grading system to guide the prognosis after hip fracture in the elderly. Br Med J (Clin Res Ed) 1986 Sep 13;293(6548):665–665. doi: 10.1136/bmj.293.6548.665. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Wallace W. A. The increasing incidence of fractures of the proximal femur: an orthopaedic epidemic. Lancet. 1983 Jun 25;1(8339):1413–1414. doi: 10.1016/s0140-6736(83)92358-9. [DOI] [PubMed] [Google Scholar]

Articles from The Ulster Medical Journal are provided here courtesy of Ulster Medical Society

RESOURCES