In-Hospital Outcomes after Hemiarthroplasty versus Total Hip Arthroplasty for Isolated Femoral Neck Fractures

被引:1
作者
Voskuijl, Timothy [1 ,3 ]
Neuhaus, Valentin [1 ,3 ]
Kinaci, Ahmet [1 ,3 ]
Vrahas, Mark [1 ,3 ]
Ring, David [1 ,2 ,3 ]
机构
[1] Massachusetts Gen Hosp, Boston, MA USA
[2] Harvard Med Sch, Massachusetts Gen Hosp, Yawkey Ctr, Orthopaed Hand & Upper Extrem Serv, Suite 2100,55 Fruit St, Boston, MA 02114 USA
[3] Massachusetts Gen Hosp, Yawkey Ctr, Boston, MA 02114 USA
来源
ARCHIVES OF BONE AND JOINT SURGERY-ABJS | 2014年 / 2卷 / 03期
关键词
Complication; Femoral neck fracture; Hemiarthroplasty; Inpatient; Length of stay; Mortality; Total hip arthroplasty;
D O I
暂无
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Previous studies suggest total hip arthroplasty may have some benefits compared to hemi-arthroplasty for displaced intracapsular femoral neck fractures in patients more than 60 years of age. The primary research question of our study was whether in-hospital adverse events, post-operative length of stay (LOS) and mortality in patients 60 year of age or older differed between total hip and hemi-arthroplasty for femoral neck fracture. Methods: We obtained data on 82951 patients more than 60 years of age with an isolated femoral neck fracture treated with either hemi-arthroplasty or total hip arthroplasty in 2009 or 2010 from the National Hospital Discharge Survey (NHDS) database. The International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9, CM) was used to code diagnoses, comorbidities, complications, and procedures. Results: Controlling for demographics and comorbidities, patients treated with hemi-arthroplasty had a 40% (95% CI 1.4-1.5) higher risk of adverse events compared to patients treated with a total hip arthroplasty. Length of stay and in-hospital mortality did not differ between these groups. Conclusions: The observed advantage for total hip arthroplasty might reflect greater infirmity in hemi-arthroplasty patients that was not accounted for by ICD-9 codes alone.
引用
收藏
页码:151 / 156
页数:6
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