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FRACTURED NECK OF THE FEMUR (DRG 210/211): PROSPECTIVE OUTCOME STUDY
Author(s) -
Turner Peter,
Cocks John,
Cade Richard,
Ewing Hamish,
Collopy Brian,
Thompson Graeme
Publication year - 1997
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1997.tb01917.x
Subject(s) - medicine , referral , rehabilitation , femur , prospective cohort study , outcome (game theory) , metropolitan area , physical therapy , emergency medicine , intensive care medicine , surgery , nursing , mathematical economics , mathematics , pathology
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.