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The Archives of Bone and Joint Surgery، جلد ۲، شماره ۳، صفحات ۱۵۱-۱۵۶
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عنوان انگلیسی In-Hospital Outcomes after Hemiarthroplasty versus Total Hip Arthroplasty for Isolated Femoral Neck Fractures
چکیده انگلیسی مقاله Background: Previous studies suggest total hip arthroplasty may have some benefits compared to hemi-arthroplasty for displaced intracapsular femoral neck fractures in patients more than 60 years of age. The primary research question of our study was whether in-hospital adverse events, post-operative length of stay (LOS) and mortality in patients 60 year of age or older differed between total hip and hemi-arthroplasty for femoral neck fracture. Methods: We obtained data on 82951 patients more than 60 years of age with an isolated femoral neck fracture treated with either hemi-arthroplasty or total hip arthroplasty in 2009 or 2010 from the National Hospital Discharge Survey (NHDS) database. The International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9, CM) was used to code diagnoses, comorbidities, complications, and procedures. Results: Controlling for demographics and comorbidities, patients treated with hemi-arthroplasty had a 40% (95% CI 1.4-1.5) higher risk of adverse events compared to patients treated with a total hip arthroplasty. Length of stay and in-hospital mortality did not differ between these groups. Conclusions: The observed advantage for total hip arthroplasty might reflect greater infirmity in hemi-arthroplasty patients that was not accounted for by ICD-9 codes alone.
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نویسندگان مقاله timothy voskuijl | timothy voskuijl
massachusetts general hospital, boston, ma


والنتین neuhaus | valentin neuhaus
massachusetts general hospital, boston, ma


آحمت kinaci | ahmet kinaci
massachusetts general hospital, boston, ma


مارک vrahas | mark vrahas
massachusetts general hospital, boston, ma


دیوید رینگ | david ring
massachusetts general hospital, boston, ma
نشانی اینترنتی http://abjs.mums.ac.ir/article_3354.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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