A hip fracture nurse specialist has a positive outcome on the length of stay for patients with hip fractures.

IF 0.4 Q4 SURGERY

Giornale di Chirurgia Pub Date : 2019-11-01

S Kohli, A Bawa, S Crooks, A Nagarajakumar, J Brooker, S Doddi

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引用次数: 0

Abstract

Aim: To determine if recruitment of a hip fracture nurse specialist has a reduction in length of stay for hip fracture patients.

Method: Primary data was extracted from the National Hip Fracture Database (NHFD). The length of stay of hip fracture patients from 2011-2014 was compared to the period 2014-17, following appointment of a hip fracture nurse specialist in 2014.

Results: The average length of stay in the first group (2011-2014) was 19.94 days and in the second group (2014-2017) was 16.52 days. There was a reduction of 3.42 days (17.15%) and was statistically significant. There was also a reduction in the time to surgery (1.38 days versus 1.15 days) and the crude 30-day mortality (10% versus 6.06%) both of which were statistically significant. The two groups were well-matched with regards to age, female: male ratio and severity of co-morbidities (based on American Society of Anaesthesiologists physical status classification system).

Conclusion: The introduction of a dedicated hip fracture nurse specialist has a positive outcome on hip fracture patients by reducing length of stay, time to surgery and the crude 30-day mortality.

本刊更多论文

髋部骨折护理专家对髋部骨折患者的住院时间有积极的影响。

目的:确定招募髋部骨折专科护士是否能减少髋部骨折患者的住院时间。方法:主要数据从国家髋部骨折数据库(NHFD)中提取。将2011-2014年髋部骨折患者的住院时间与2014-17年进行比较，并于2014年任命一名髋部骨折专科护士。结果:第一组(2011-2014年)平均住院时间为19.94天，第二组(2014-2017年)平均住院时间为16.52天。减少3.42天(17.15%)，差异有统计学意义。手术时间(1.38天对1.15天)和粗30天死亡率(10%对6.06%)也有所减少，两者均有统计学意义。两组患者在年龄、男女比例和合并症严重程度(基于美国麻醉医师协会身体状态分类系统)方面匹配良好。结论:引入专门的髋部骨折专科护士对髋部骨折患者有积极的效果，减少了住院时间、手术时间和30天的死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Giornale di Chirurgia SURGERY-

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： Il Giornale di Chirurgia pubblica contributi che propongono le diverse tecniche su patologia chirurgiche di attualità. Pubblica articoli originali, casistica clinica, metodi, tecniche, terapia farmacologica pre-operatoria e post-chirurgica, ed articoli inerenti la descrizione di tecniche chirurgiche.