Table of Contents
International Scholarly Research Notices
Volume 2014 (2014), Article ID 385701, 5 pages
http://dx.doi.org/10.1155/2014/385701
Clinical Study

Does a Dedicated Unit for the Treatment of Hip Fractures Improve Acute Outcomes?

The Orthopaedic Department, Lister Hospital, Stevenage SG1 4AB, UK

Received 1 July 2014; Revised 12 October 2014; Accepted 9 November 2014; Published 23 November 2014

Academic Editor: Chung-Yao Hsu

Copyright © 2014 Al-achraf Khoriati et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of this study is to establish whether management of patients in a unit dedicated to the treatment of hip fractures improves acute outcomes. We prospectively studied 300 patients with hip fractures in two separate groups. Patients in Group 1 were operated on in a mixed trauma unit and recovered in a traditional trauma ward. Patients in Group 2 were operated on in dedicated theatres and recovered in a unit which catered exclusively for hip fractures. The ages, ASA grades, and type of procedure performed in the two groups were comparable. The 30-day mortality rate in Group 2 was 9% as opposed to 12% in Group 1 (). The inpatient length of stay was significantly lower in Group 2 (18 days versus 25 days; ) and so was the time taken to operate (28 hours versus 34 hours; ). A greater percentage of patients in Group 2 were discharged home as opposed to a nursing home (75% versus 67%). This difference approached significance (). We conclude that prioritisation and prompt management of patients with hip fractures in a dedicated unit significantly improve time to surgery and significantly decrease length of stay.