A hip fracture nurse specialist has a positive outcome on the length of stay for patients with hip fractures.

IF 0.4 Q4 SURGERY Giornale di Chirurgia Pub Date : 2019-11-01
S Kohli, A Bawa, S Crooks, A Nagarajakumar, J Brooker, S Doddi
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Abstract

Aim: To determine if recruitment of a hip fracture nurse specialist has a reduction in length of stay for hip fracture patients.

Method: Primary data was extracted from the National Hip Fracture Database (NHFD). The length of stay of hip fracture patients from 2011-2014 was compared to the period 2014-17, following appointment of a hip fracture nurse specialist in 2014.

Results: The average length of stay in the first group (2011-2014) was 19.94 days and in the second group (2014-2017) was 16.52 days. There was a reduction of 3.42 days (17.15%) and was statistically significant. There was also a reduction in the time to surgery (1.38 days versus 1.15 days) and the crude 30-day mortality (10% versus 6.06%) both of which were statistically significant. The two groups were well-matched with regards to age, female: male ratio and severity of co-morbidities (based on American Society of Anaesthesiologists physical status classification system).

Conclusion: The introduction of a dedicated hip fracture nurse specialist has a positive outcome on hip fracture patients by reducing length of stay, time to surgery and the crude 30-day mortality.

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髋部骨折护理专家对髋部骨折患者的住院时间有积极的影响。
目的:确定招募髋部骨折专科护士是否能减少髋部骨折患者的住院时间。方法:主要数据从国家髋部骨折数据库(NHFD)中提取。将2011-2014年髋部骨折患者的住院时间与2014-17年进行比较,并于2014年任命一名髋部骨折专科护士。结果:第一组(2011-2014年)平均住院时间为19.94天,第二组(2014-2017年)平均住院时间为16.52天。减少3.42天(17.15%),差异有统计学意义。手术时间(1.38天对1.15天)和粗30天死亡率(10%对6.06%)也有所减少,两者均有统计学意义。两组患者在年龄、男女比例和合并症严重程度(基于美国麻醉医师协会身体状态分类系统)方面匹配良好。结论:引入专门的髋部骨折专科护士对髋部骨折患者有积极的效果,减少了住院时间、手术时间和30天的死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
1
期刊介绍: Il Giornale di Chirurgia pubblica contributi che propongono le diverse tecniche su patologia chirurgiche di attualità. Pubblica articoli originali, casistica clinica, metodi, tecniche, terapia farmacologica pre-operatoria e post-chirurgica, ed articoli inerenti la descrizione di tecniche chirurgiche.
期刊最新文献
Erratum: A case report of ectopic pancreas in the ileum incidentally diagnosed during laparotomy for acute colonic diverticulitis - Erratum. Surgical site infections in patients undergoing breast oncological surgery during the lockdown: An unexpected lesson from the COVID-19 pandemic. Laparoscopic Roux-en-Y gastric bypass in the treatment of obesity: evidence based update through randomized clinical trials and meta-analyses. Retroperitoneal sarcomas: from diagnosis to treatment. Case series and review of the literature. The discriminative properties of erythrocyte anisocytosis in patients with resectable malignant pancreatic masses compared with an age and gender matched control group.
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