Trends in surgical treatment of femoral neck fractures in the elderly
ABSTRACT Objective To analyze recent demographic and medical billing trends in treatment of femoral neck fracture of American elderly patients. Methods The American College of Surgeons National Surgical Quality Improvement Program database was analyzed from 2006 to 2015, for patients aged 65 years and older, using the Current Procedural Terminology codes 27130, 27125, 27235, and 27236. Patient demographics, postoperative complications, and frequency of codes were compared and analyzed over time. Our sample had 17,122 elderly patients, in that, 70% were female, mean age of 80.1 years (standard deviation±6.6 years). Results The number of cases increased, but age, gender, body mass index, rates of diabetes and smoking did not change over time. Open reduction internal fixation was the most commonly billed code, with 9,169 patients (53.6%), followed by hemiarthroplasty with 5,861 (34.2%) patients. Combined estimated probability of morbidity was 9.8% (standard deviation±5.2%), and did not change significantly over time. Postoperative complication rates were similar between treatments. Conclusion Demographics and morbidity rates in femoral neck fractures of elderly patients did not change significantly from 2006 to 2015. Open reduction internal fixation was the most common treatment followed by hemiarthroplasty.
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2018
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oai:scielo:S1679-450820180003002072018-08-31Trends in surgical treatment of femoral neck fractures in the elderlyLehtonen,Eva Jolanda IreneStibolt Jr,Robert DavisSmith,WalterWills,BradleyPinto,Martim CorreiaMcGwin Jr,GeraldShah,AshishGodoy-Santos,Alexandre LemeNaranje,Sameer Aged Hip fractures/surgery Femoral neck fractures/surgery Surgical procedures, operative/trends ABSTRACT Objective To analyze recent demographic and medical billing trends in treatment of femoral neck fracture of American elderly patients. Methods The American College of Surgeons National Surgical Quality Improvement Program database was analyzed from 2006 to 2015, for patients aged 65 years and older, using the Current Procedural Terminology codes 27130, 27125, 27235, and 27236. Patient demographics, postoperative complications, and frequency of codes were compared and analyzed over time. Our sample had 17,122 elderly patients, in that, 70% were female, mean age of 80.1 years (standard deviation±6.6 years). Results The number of cases increased, but age, gender, body mass index, rates of diabetes and smoking did not change over time. Open reduction internal fixation was the most commonly billed code, with 9,169 patients (53.6%), followed by hemiarthroplasty with 5,861 (34.2%) patients. Combined estimated probability of morbidity was 9.8% (standard deviation±5.2%), and did not change significantly over time. Postoperative complication rates were similar between treatments. Conclusion Demographics and morbidity rates in femoral neck fractures of elderly patients did not change significantly from 2006 to 2015. Open reduction internal fixation was the most common treatment followed by hemiarthroplasty.info:eu-repo/semantics/openAccessInstituto Israelita de Ensino e Pesquisa Albert Einsteineinstein (São Paulo) v.16 n.3 20182018-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082018000300207en10.1590/s1679-45082018ao4351 |
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Lehtonen,Eva Jolanda Irene Stibolt Jr,Robert Davis Smith,Walter Wills,Bradley Pinto,Martim Correia McGwin Jr,Gerald Shah,Ashish Godoy-Santos,Alexandre Leme Naranje,Sameer |
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Lehtonen,Eva Jolanda Irene Stibolt Jr,Robert Davis Smith,Walter Wills,Bradley Pinto,Martim Correia McGwin Jr,Gerald Shah,Ashish Godoy-Santos,Alexandre Leme Naranje,Sameer Trends in surgical treatment of femoral neck fractures in the elderly |
author_facet |
Lehtonen,Eva Jolanda Irene Stibolt Jr,Robert Davis Smith,Walter Wills,Bradley Pinto,Martim Correia McGwin Jr,Gerald Shah,Ashish Godoy-Santos,Alexandre Leme Naranje,Sameer |
author_sort |
Lehtonen,Eva Jolanda Irene |
title |
Trends in surgical treatment of femoral neck fractures in the elderly |
title_short |
Trends in surgical treatment of femoral neck fractures in the elderly |
title_full |
Trends in surgical treatment of femoral neck fractures in the elderly |
title_fullStr |
Trends in surgical treatment of femoral neck fractures in the elderly |
title_full_unstemmed |
Trends in surgical treatment of femoral neck fractures in the elderly |
title_sort |
trends in surgical treatment of femoral neck fractures in the elderly |
description |
ABSTRACT Objective To analyze recent demographic and medical billing trends in treatment of femoral neck fracture of American elderly patients. Methods The American College of Surgeons National Surgical Quality Improvement Program database was analyzed from 2006 to 2015, for patients aged 65 years and older, using the Current Procedural Terminology codes 27130, 27125, 27235, and 27236. Patient demographics, postoperative complications, and frequency of codes were compared and analyzed over time. Our sample had 17,122 elderly patients, in that, 70% were female, mean age of 80.1 years (standard deviation±6.6 years). Results The number of cases increased, but age, gender, body mass index, rates of diabetes and smoking did not change over time. Open reduction internal fixation was the most commonly billed code, with 9,169 patients (53.6%), followed by hemiarthroplasty with 5,861 (34.2%) patients. Combined estimated probability of morbidity was 9.8% (standard deviation±5.2%), and did not change significantly over time. Postoperative complication rates were similar between treatments. Conclusion Demographics and morbidity rates in femoral neck fractures of elderly patients did not change significantly from 2006 to 2015. Open reduction internal fixation was the most common treatment followed by hemiarthroplasty. |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publishDate |
2018 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082018000300207 |
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