Pre-fracture medication use as a predictor of 30-day mortality in hip fracture patients: an analysis of 141,201 patients.

Purpose: To evaluate the predictive value of pre-fracture medication usage on 30-day mortality following a hip fracture.

Methods: Information on age, sex, fracture type, time of death and Charlson co-morbidity index (CCI) was collected from the Danish National Patient Registry on all patients above 60 years, sustaining a hip fracture during the period January 1995 to December 2013. Information on drug usage was obtained from the Danish National Prescription Database.

Re-amputations and mortality after below-knee, through-knee and above-knee amputations.

Introduction: From January 2013, we changed the surgical strategy in our department and ceased to perform the through-knee amputation (TKA). The primary aim of this study was to investigate re-amputation rates ≤ 90 days after non-traumatic major lower-extremity amputations performed before and after this change of practice. Furthermore, we reported mortality before and after the change of practice.

Orthogeriatric Service Reduces Mortality in Patients With Hip Fracture.

Introduction: Orthogeriatric service has been shown to improve outcomes in patients with hip fracture. The purpose of this study is to evaluate the effect of orthogeriatrics at Bispebjerg University Hospital, Denmark. The primary outcome is mortality inhospital and after 1, 3, and 12 months for patients with hip fracture.

Daily number of fractures is associated with road temperature in an urban area.

Introduction: Different factors related to winter are known to influence the fracture incidence, but little is known about the effect of road surface temperature. This study examines the association between road surface temperature and the daily number of fractures in an urban area during two winters.

Material And Methods: Retrospective data collection was conducted on all patients treated at Bispebjerg Hospital, Denmark, for a humeral, ankle, distal radius or hip fracture during the periods October to April 2009/2010 and 2010/2011.

Preoperative factors associated with red blood cell transfusion in hip fracture patients.

Introduction: Red blood cell (RBC) transfusion is a frequently used treatment in patients admitted with a fractured hip, but the use remains an area of much debate. The aim of this study was to determine preoperative factors associated with the risk of receiving a red blood cell transfusion in hip fracture patients.

Method: The study included 986 consecutive hip fracture patients (aged 60 years or above).

Metaanalysis of risk factors for mortality in patients with hip fracture.

Introduction: The aim of this meta-analysis is to assess the association of three different clinical score systems with the mortality in hip fracture patients.

Methods: A literature search was conducted on November 13, 2011 using PubMed and Embase. The search yielded 315 publications which were reviewed on the basis of the inclusion criteria.

Chromium and cobalt ion concentrations in blood and serum following various types of metal-on-metal hip arthroplasties: a literature overview.

Background And Purpose: Widely different metal ion concentrations in blood and serum have been reported with metal-on-metal (MoM) implants. We reviewed the literature on blood and serum ion concentrations of chromium (Cr) and cobalt (Co) following various MoM hip arthroplasties.

Methods: Studies were searched for in the Medline database, Embase, and the Cochrane Database of Systematic Reviews.

Is mortality after hip fracture associated with surgical delay or admission during weekends and public holidays? A retrospective study of 38,020 patients.

Background And Purpose: Hip fractures are associated with high mortality, but the cause of this is still not entirely clear. We investigated the effect of surgical delay, weekends, holidays, and time of day admission on mortality in hip fracture patients.

Patients And Methods: Using data from the Danish National Indicator Project, we identified 38,020 patients admitted from 2003 to 2010.

Secondary hyperparathyroidism and mortality in hip fracture patients compared to a control group from general practice.

Introduction: Previously, little attention has been paid as to how disturbances in the parathyroid hormone (PTH)-calcium-vitamin D-axis, such as secondary hyperparathyroidism (SHPT), relate to mortality amongst hip fracture patients. This study aimed to (1) determine if SHPT is associated with mortality in this group of patients, (2) investigate the association between serum (s-) PTH, s-total calcium, s-25-hydroxyvitamin D (s-25(OH)D) and mortality and (3) determine the prevalence of SHPT amongst hip fracture patients and a control group.

Method: The study included 562 hip fracture patients (HF) (age ≥ 70 years) admitted to a Danish university hospital.

Value of routine blood tests for prediction of mortality risk in hip fracture patients.

Background: There is a 5- to 8-fold increased risk of mortality during the first 3 months after a hip fracture. Several risk factors are known. We studied the predictive value (for mortality) of routine blood tests taken on admission.

Routine blood tests as predictors of mortality in hip fracture patients.

Objective: The aim of this study was to assess the evidence for the association between different biochemical markers at admission and mortality through a meta-analysis.

Data Sources: PubMed-, Embase-, Cochran Library and the Web of Knowledge were searched for cohort studies.

Study Selection: Eligible studies were observational studies with a study population larger than 150 subjects, a mean age above 60 years and a study duration below 730 days.

A comprehensive hip fracture program reduces complication rates and mortality.

Objectives: To evaluate the rate of postoperative complications, length of stay, and 1-year mortality before and after introduction of a comprehensive multidisciplinary fast-track treatment and care program for hip fracture patients (the optimized program).

Design: Retrospective chart review with historical control.

Setting: Orthopedic ward (110 beds) at a university hospital (700 beds).

[Registration of prehabilitation prior to surgery].

Four to eight week prehabilitation programs for smokers and harmful drinkers were included in the national guidelines in 2001. In October 2007 a guarantee for surgery within one month of waiting time came into effect in Denmark. The present Danish patient administration system already contains room for registration of prehabilitation prior to surgery.

Introduction of new guidelines for emergency patients: motivational counselling among smokers.

Introduction: Smoking is the most important risk factor for morbidity and mortality in hospital patients. Patient contact with the healthcare system should include smoking cessation counselling. Emergency admissions are seldom given this opportunity.