Result of Treatment for Elderly Patient with Hip Fracture

Hip fracture in the elderly is one of the common health problems, especially the elderly with the osteoporosis which is the condition of the bone that is thin and brittle than usual. In case of inappropriate treatment, the patient may turn to bedridden which causes complications such as pressure ulcers, respiratory infection and urinary tract infection. In case of delayed treatment, it may be severe to death. Patients, relatives or caregivers are advised on how to take care of the patients after hip surgery including the care of the surgical wounds, the prevention of repeated falls to reduce the chance of repeated hip fractures.

The indicators of post-operative care of The Orthopedic Unit & Spine-Academy, Bangkok Hospital Phuket are as follows:

  • The infection rate of surgical wound
  • The rate of elderly hip fracture patient with no unplanned re-operation with a hip fracture within 28 days.
  • The rate of elderly hip fracture patient with no repeated fall within 30 days after discharge.

The results of the indicators are respectively.

Infection Rate of Surgical Wound of Post-operative Hip Fracture in Elderly Patient

Result of Treatment for Elderly Patient with Hip Fracture

In 2018, hip fracture patients aged 60 years and over were treated by the surgical procedure. There was no surgical wound infection in all patients.

The Rate of Hip Fracture Elderly Patient with Unplanned Re-operation Within 28 Days

In 2018, hip fracture patients aged 60 years and over were treated by surgical procedure. There was no unplanned re-operation with hip fracture within 28 days in all patients.

The Rate of Hip Fracture Elderly Patient With No Repeated Fall Within 30 Days After Returning Home for Recovery

Outcome_Ortho-04

In 2018, hip fracture patients aged 60 years and over were treated by surgical procedure. There was no repeated fall within 30 days after returning home which is a great statistic compared to the same rate of the American Geriatrics Society.

*Source:

[1] JJW Roche ,R T Wenn,O Sahota, C G Moran.Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study BMJ.2005(Published 18 November 2005).https://doi.org/10.1136/bmj.38643.663843.55

[2] National Hip Fracture Database annual report 2017 (NHFD).https://nhfd.co.uk/files/2017ReportFiles/NHFD-AnnualReport2017.pdf

[3] Jane Mahoney Mark Sager Nancy Cross Dunham Jill Johnson. Risk of Falls after Hospital Discharge. Presented in part at the annual meeting of the Gerontological Society of America.2015 (Version of Record online: 27 April 2015). https://doi.org/10.1111/j.1532-5415.1994.tb01750.x Cited by: 123

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