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Investigating the average duration between hospitalization and surgery and discharge of orthopedic patients with peritrochanteric fracture in patients over 60 years old in Shahid Madani Hospital in 2022
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Mohamad Sheibani *    1, Salman Azarsina1 , Arvin Najafi1 , Mohammad Sajjad Mirhoseini2 , Elham al-Sadat Seyyed Ghasemi3 , Mohadese Rastgo4 , Yosef Khani5 |
1- Assistant Professor of Orthopaedics , Department of Orthopedics , School of Medicine , Clinical Research Development Unit Shahid Madani Hospital, Alborz University of Medical Sciences , Karaj , Iran
2- Assistant Professor of Surgery Department of Surgery, School of Medicine, Clinical Research Development Unit Shahid Madani Hospital ,Alborz University of Medical Sciences , Karaj , Iran
3- Pathology residency student, Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
4- Student of General Medicine, Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
5- PhD in Epidemiology, Clinical Research Development Unit, Shahid Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran |
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Abstract: (710 Views) |
Background and objectives: Usually, patients with femur fractures, including peritrochanteric fractures, have associated comorbidities, which increase the duration of hospitalization, increase the rate of complications, and increase mortality. The aim of this study was to determine the average time between hospitalization and surgery and discharge of patients over 60 years old with peritrochanteric fracture in Shahid Madani Hospital in 2022.
Materials and methods: The current study is a cross-sectional study. Demographic information, underlying diseases, BMI, length of time between hospitalization and surgery, surgery and discharge, and hospitalization and discharge were collected. The relationship between prognostic factors and length of hospitalization was investigated and the significance level of p value was less than 0. 05 was considered.
Findings: A total of 250 patients (114 women and 136 men) with an average age of 75.6 ± 98 years were included in the study. The average time between hospitalization and surgery was 60.7 ± 23.8 hours, and the time between surgery and discharge was 24. 63.3 ± 4 hours and the time between hospitalization and discharge was 124.1 ± 35.9 hours. In female gender, age over 75 years and suffering from diabetes, cardiovascular disease, hypertension and respiratory disease, the time between hospitalization and Surgery was significantly higher. In female gender, age over 75 years, increased BMI, diabetes and respiratory disease, the duration between surgery and discharge was significantly higher. In general, increasing the length of time between hospitalization and discharge was significantly related to female gender, age over 75 years, increased BMI and diabetes, cardiovascular disease, hypertension, and respiratory disease.
Conclusion: Conducting this study led to the identification of risk factors that can be adjusted in patients, so that by reducing the complications of fracture and surgery, as well as reducing the duration of hospitalization, the chances of recovery and faster return to daily life can be increased. |
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| Keywords: Peritrochanteric fracture, Prognosis, Hospitalization period |
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Full-Text [PDF 512 kb]
(346 Downloads)
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Type of Study: Original |
Subject:
Special
Received: 2023/02/08 | Accepted: 2023/04/08 | Published: 2024/02/28
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Sheibani M, Azarsina S, Najafi A, Mirhoseini M S, Seyyed Ghasemi E A, Rastgo M et al . Investigating the average duration between hospitalization and surgery and discharge of orthopedic patients with peritrochanteric fracture in patients over 60 years old in Shahid Madani Hospital in 2022. aumj 2024; 13 :1-8 URL: http://aums.abzums.ac.ir/article-1-1787-en.html
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