Femoral neck fractures in Lithuania: The one year audit results

• Published in: International journal of orthopaedic and trauma nursing Vol. 15; no. 2; pp. 76 - 81
• Main Authors: Valavičienė, Rasa, Macijauskienė, Jūratė, Smailys, Alfredas, Hommel, Ami
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.05.2011
• Subjects: Femoral neck fracture audit; Fractured hips; Fractures; Functional results; Hip fracture; Hospitals; Lithuania; Mobility; Neck; Lithuania; Functional results; Femoral neck fracture audit; Hip fracture
• ISSN: 1878-1241; 1878-1292
• DOI: 10.1016/j.ijotn.2010.10.001

The purpose of this study was to perform an audit of patients with hip fractures treated in the Kaunas Medical University Hospital, Lithuania over a one year period, and to analyze outcomes after 4 months. Hip fracture patients, who were treated in Kaunas Medical University Hospital, were included in the audit. All data were recorded according to the Swedish Hip Fracture Register forms. Four months after the fracture, these forms and a standardized questionnaire, the Hip Disability and Osteoarthritis Outcome Score, were used to evaluate functional results for patients included in the study. A total of 64 patients with a mean age of 75 years were consecutively included. At the 4 month follow up, the patients were using more walking aids ( p = 0.016) and had poorer mobility ( p = 0.0018) compared to their prefracture status. Patients who were living alone ( p = 0.03) and had a greater ASA grade ( p = 0.01), were more likely to express hip joint symptoms. Older age was associated with greater pain ( p = 0.04) and worse mobility ( p = 0.02). Through the introduction of prospective audit of patients with femoral neck fracture in Lithuania, we identified that high ASA grade and old age are significantly affecting outcomes for these patients.