Publication: Patients with osteoporotic hip fractures: Factors affecting length of hospital stay (LOS) and outcome
Issued Date
2012-07-01
Resource Type
ISSN
01252208
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2-s2.0-84864420541
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.95, No.7 (2012), 917-924
Suggested Citation
Manee Raksakietisak, Angkana Lurngnateetape, Kongkhet Riansuwan, Ninkan Noiwan, Chutimart Chaiyarak, Kittiya Keawmoon, Benno von Bormann Patients with osteoporotic hip fractures: Factors affecting length of hospital stay (LOS) and outcome. Journal of the Medical Association of Thailand. Vol.95, No.7 (2012), 917-924. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/14730
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Title
Patients with osteoporotic hip fractures: Factors affecting length of hospital stay (LOS) and outcome
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Abstract
Identify risk factors associated with prolonged hospital stay (LOS more than 14 days) in patients with osteoporotic hip fracture. Material and Method: One hundred and fifty out of 356 patients with fractured femur were selected between April 2008 and August 2009. Analysis of patient's LOS (group I equal or less than 14 days, group II more than 14 days) is performed by backward binary multiple logistic regression. Results: LOS in group I (n = 46) was 12.5(±4) days compared to 21 (+11) days in group II (n = 104). Patients were mainly female (74%) and about 50% were aged over 80 years. The 30-days mortality in group I and II was zero and two patients respectively. Time-to-surgery was three days (± 2) in group I and seven (± 5) days in group II Significant predicting risk factors were waiting for investigation (odds ratio (OR) 3.77, confidence interval (CI) 1.12-12.69) and receiving systemic opioids (OR 3.44; CI 1.54-7.66). Conclusion: Unnecessary surgery delay after hip fracture should be avoided. Higher need for opioids in those patients might be the result of prolonged waiting for surgical treatment.