Voskuijl, Timothy, Neuhaus, Valentin, Kinaci, Ahmet, Vrahas, Mark, Ring, David. (1393). In-Hospital Outcomes after Hemiarthroplasty versus Total Hip Arthroplasty for Isolated Femoral Neck Fractures. , 2(3), 151-156. doi: 10.22038/abjs.2014.3354
Timothy Voskuijl; Valentin Neuhaus; Ahmet Kinaci; Mark Vrahas; David Ring. "In-Hospital Outcomes after Hemiarthroplasty versus Total Hip Arthroplasty for Isolated Femoral Neck Fractures". , 2, 3, 1393, 151-156. doi: 10.22038/abjs.2014.3354
Voskuijl, Timothy, Neuhaus, Valentin, Kinaci, Ahmet, Vrahas, Mark, Ring, David. (1393). 'In-Hospital Outcomes after Hemiarthroplasty versus Total Hip Arthroplasty for Isolated Femoral Neck Fractures', , 2(3), pp. 151-156. doi: 10.22038/abjs.2014.3354
Voskuijl, Timothy, Neuhaus, Valentin, Kinaci, Ahmet, Vrahas, Mark, Ring, David. In-Hospital Outcomes after Hemiarthroplasty versus Total Hip Arthroplasty for Isolated Femoral Neck Fractures. , 1393; 2(3): 151-156. doi: 10.22038/abjs.2014.3354

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

The Archives of Bone and Joint Surgery
مقاله 7، دوره 2، شماره 3، 2014، صفحه 151-156    اصل مقاله (348.06 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2014.3354
نویسندگان
Timothy Voskuijl؛ Valentin Neuhaus؛ Ahmet Kinaci؛ Mark Vrahas؛ David Ring*
Massachusetts General Hospital, Boston, MA
چکیده
 
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.
کلیدواژه‌ها
complication؛ femoral neck fracture؛ Hemiarthroplasty؛ Inpatient؛ Length of stay؛ Mortality؛ Total hip arthroplasty
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