Source:http://linkedlifedata.com/resource/pubmed/id/17405512
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
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| pubmed:dateCreated |
2007-4-4
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| pubmed:abstractText |
We aimed at describing the epidemiology of femur fracture in elderly hospitalized for femur fracture in Lazio (Italy), and evaluating the association between patient's and hospital characteristics on in-hospital mortality. We conducted a population- and hospital-based study (Lazio region: 5.233.233 inhabitants) among people 65+ years aged. Source of data: regional hospital register 2002-2003; ICD-9-CM codes for patients' selection 820 e 821. Direct standardization (rate x 1000) and logistic regression analysis (OR, 95% CI) were performed. Overall hospitalization rate in elderly was 7.5%o (10.l%o females vs. 3.9%0 males). 12.033 patients with femur fractures were enrolled in the study period; 21,6% were not treated surgically: in comparison with those who underwent surgery, they were males, residents out of Rome, older and with worst health status. In-hospital mortality rate was 7,97%. In-hospital mortality determinants were: male gender (OR=0.56), older age (85+, OR=3.30), living out of Rome (OR=0.50), comorbidities (Charlson 'index 3: OR=4.44), "others and unspecified parts of femur" as site of fracture (OR=1.84), admission to a private hospital (OR=O. 79) and a surgical treatment (OR=0.20). In conclusion, this study showed the effect of selected individual characteristics on in hospital mortality and suggested a role of early surgical treatment and access to private sector. Regional hospital information systems represent useful tools to address epidemiological impact of hip fracture and its health care resources utilization.
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| pubmed:language |
ita
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:issn |
1120-9135
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
19
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
49-61
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| pubmed:meshHeading |
pubmed-meshheading:17405512-Adolescent,
pubmed-meshheading:17405512-Adult,
pubmed-meshheading:17405512-Age Distribution,
pubmed-meshheading:17405512-Aged,
pubmed-meshheading:17405512-Aged, 80 and over,
pubmed-meshheading:17405512-Child,
pubmed-meshheading:17405512-Child, Preschool,
pubmed-meshheading:17405512-Cohort Studies,
pubmed-meshheading:17405512-Female,
pubmed-meshheading:17405512-Femoral Fractures,
pubmed-meshheading:17405512-Femoral Neck Fractures,
pubmed-meshheading:17405512-Hospital Mortality,
pubmed-meshheading:17405512-Hospitalization,
pubmed-meshheading:17405512-Hospitals, General,
pubmed-meshheading:17405512-Humans,
pubmed-meshheading:17405512-Infant,
pubmed-meshheading:17405512-Infant, Newborn,
pubmed-meshheading:17405512-International Classification of Diseases,
pubmed-meshheading:17405512-Italy,
pubmed-meshheading:17405512-Male,
pubmed-meshheading:17405512-Medical Records,
pubmed-meshheading:17405512-Middle Aged,
pubmed-meshheading:17405512-Retrospective Studies,
pubmed-meshheading:17405512-Rome,
pubmed-meshheading:17405512-Sex Distribution
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| pubmed:articleTitle |
[Epidemiology of femur fracture and characteristics of hospital care in Lazio].
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| pubmed:affiliation |
Facoltutà di Scienze Statistiche, Universittà degli Studi di Roma La Sapienza. sperati@ifo.it
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| pubmed:publicationType |
Journal Article,
English Abstract
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