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Saturday, February 16, 2002

Hip fracture treatment varies, more study needed to standardize care

Although general guidelines regarding the treatment of patients with fractures of the hip have been developed over the years, it appears that treatment is quite variable across the state of California. A study reported in poster exhibit 385 suggests that treatment of hip fractures requires more study in order to standardize the care of patients and improve outcomes.

To find out how hip fracture patients are really treated in the community, a retrospective cohort study was performed on 1,001 elderly patients in a random sample from 60 California hospitals. All patients were treated operatively for a hip fracture in 1995-1996. The purpose of the study was to identify the operative treatment, perioperative management and mortality of elderly patients with hip fractures.

A two-stage stratified random sample scheme was used to generate the study population so that the weighted numbers for the data presented could be generalized to the entire hip fracture population (less than 65 years old) in California. Data was collected via a meticulous chart review on a myriad of parameters and mortality. A fair number of patients received either inadequate or no deep vein thrombosis (DVT) prophylaxis and some patients did not receive perioperative antibiotics.

Co-authors of the study include Jay R. Lieberman, MD, Los Angeles, Calif., and Patrick S. Romano, MD, M. Chilcott-Lockwood, BS, Michael Schembri, BS, and H. David Moehring, MD, all of Sacramento, Calif.

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Last modified 16/February/2002