Table 2.
Inpatient pre-and post-operative care, characteristics of the surgery, and complications after the fracture
Pre-operative care/treatments | ||
Variable | N (%) | |
Multi-disciplinary assessment protocol upon admission | 602 (60.6) | |
Medical/specialised nurse input | Geriatric assessment | 352 (35.3) |
Assessed by a physician | 617 (61.9) | |
Specialised nurse | 359 (37.4) | |
Not assessed | 109 (10.9) | |
Antibiotic prophylaxis (common regimen/s given) | Cephalosporines | 886 |
Other antibiotics | 78 | |
Anti-thrombotic prophylaxis | Pharmacological | 981 |
Mechanic/physical measures | 164 | |
Previous oral anticoagulants | 124 | |
Previous platelet inhibitor/s therapy | 212 | |
Surgery | ||
Anaesthesia (type of) | Only general | 74 (7.5) |
General and nerve block | 9 (0.9) | |
General and spinal anaesthesia | 15 (1.5) | |
General and epidural anaesthesia | 36 (3.7) | |
Only spinal anaesthesia | 743 (75.5) | |
Spinal anaesthesia and nerve block | 70 (7.1) | |
others | 37 (3.8) | |
Missing data | 13 | |
Surgery (type of procedure) | Internal fixation-sliding hip screw | 32 (3.2) |
Internal fixation-cannulated screw | 33 (3.3) | |
Internal fixation-long intramedullary nail | 148 (14.9) | |
Internal fixation-short intramedullary nail | 384 (38.6) | |
Unipolar hemiarthroplasty (non-cemented, non-coated) | 35 (3.6) | |
Unipolar hemiarthroplasty (non-cemented-coated with hydroxyapatite) | 12 (1.2) | |
Unipolar hemiarthroplasty (cemented) | 76 (7.7) | |
Bipolar hemiarthroplasty (non-cemented-non-coated) | 8 (0.8) | |
Bipolar hemiarthroplasty (non-cemented, coated with hydroxyapatite) | 14 (1.4) | |
Bipolar hemiarthroplasty (cemented) | 149 (15.0) | |
Arthroplasty-total hip replacement (non-cemented, non-coated) | 11 (1.1) | |
Post-operative care/treatments | ||
Review by internal medicine/geriatrics (grade) | Consultant | 666 (71.0) |
Senior resident doctor | 61 (6.5) | |
Junior resident doctor | 13 (1.4) | |
Not reviewed/assessed | 186 (19.8) | |
Head of department | 12 (1.3) | |
Missing data | 59 | |
Seen by falls prevention team | 424 (42.7) | |
Multi-disciplinary team review/care | 537 (54.1) | |
Early mobilisation | 873 (87.8) | |
Prevention of constipation | 657 (66.1) | |
Post-operative rehabilitation | 592 (59.4) | |
Destination at discharge | Own home | 490 (49.3) |
Care home | 250 (25.1) | |
Home hospitalisation | 4 (0.4) | |
Rehabilitation centre | 138 (13.9) | |
Long-term community hospital | 78 (7.8) | |
Others | 17 (1.7) | |
Complications after the fracture | ||
Delirium | 360 (36.1) | |
Urinary tract infection | 97 (9.7) | |
Respiratory tract infection | 80 (8.0) | |
Kidney failure | 140 (14.1) | |
Heart failure | 82 (8.2) | |
Pressure ulcers | 36 (3.63) | |
Surgical wound infection | 8 (0. 8) | |
Prosthesis or material infection | 6 (0.6) | |
In-hospital mortality | 21 (2.1) |