Fractured neck of the femur (DRG 210/211): prospective outcome study

Aust N Z J Surg. Feb-Mar 1997;67(2-3):126-30. doi: 10.1111/j.1445-2197.1997.tb01917.x.

Abstract

Background: An ageing population will increase the need for resources to treat patients with a fractured neck of femur (DRG 210/211). Provision of these resources will be helped by a better understanding of current practices.

Methods: A prospective study of outcome at discharge for 100 consecutive patients with DRG 210/211 was conducted at five Victorian metropolitan teaching hospitals to assess length of stay and the reasons for any variations.

Results: The major influences on timing of discharge were: delayed availability of rehabilitation beds; the timing of referral and assessment by the Geriatric Assessment Team; delay in surgery more than 24 h after admission; and development of postoperative complications.

Conclusion: The efficient management of patients with DRG 210/211 requires a strong protocol of treatment and referral strategies with adequate resources.

MeSH terms

  • Aged
  • Analysis of Variance
  • Female
  • Femoral Neck Fractures / epidemiology
  • Femoral Neck Fractures / rehabilitation
  • Femoral Neck Fractures / surgery*
  • Fracture Fixation, Internal
  • Hospital Mortality
  • Humans
  • Length of Stay*
  • Male
  • Outcome Assessment, Health Care
  • Postoperative Complications / epidemiology
  • Prospective Studies
  • Referral and Consultation