ArticleDer Unfallchirurg2013
[Proximal femoral fractures in the German external quality assurance module 17/1: reasons for delay in surgery].
Article in Der Unfallchirurg, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Proximal Femur Fractures: Evaluating the Necessity of On-Call Surgery.Journal of clinical medicine · 2024Article
- Time to surgery after proximal femur fracture in geriatric patients depends on hospital size and provided level of care: analysis of the Registry for Geriatric Trauma (ATR-DGU).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- [Influence of timing of surgery on complication rates after cemented hemiarthroplasty for treatment of medial femoral neck fractures].Der Unfallchirurg · 2021Article
- Analysis of the effects of a delay of surgery in patients with hip fractures: outcome and causes.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Article
- [Changes in the patient population with proximal femur fractures over the last decade : Incidence, age, comorbidities, and length of stay].Der Unfallchirurg · 2018Article
- [Elderly trauma patients with proximal femur fractures : Statistical evaluation of regular process data from a trauma center for the elderly].Der Unfallchirurg · 2017Article
- [Reasons for proximal femoral fracture surgery delays : Analysis of the structured dialog in Rheinland-Pfalz].Der Unfallchirurg · 2016Article
- [Length of hospital stay for patients with proximal femoral fractures : Influencing factors].Der Unfallchirurg · 2016Article
- [Factors influencing course of hospitalization in patients with hip fractures: Complications, length of stay and hospital mortality].Zeitschrift fur Gerontologie und Geriatrie · 2015Article
- Mortality after proximal femur fracture with a delay of surgery of more than 48 h.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundFor the quality indicator "preoperative stay" a part of the external quality assurance for proximal femoral fractures (module 17/1), a tolerance range for surgery within 48 h after admission of ≤ 15 % is given. MATERIALS AND
methodsOver a period of 5 years all cases were analyzed with respect to reasons for delayed surgery of more than 48 h after admission.
resultsA total of 165 patients (16%) out of 1,036 documented cases had surgery later than 48 h after admission. Reasons were pathological bleeding, preoperative poor general condition, lack of informed consent, intake of metformin and lacking initial radiological detection of fractures. Due to a lack of software-related specifications in ten patients a wrong preoperative length of stay was generated.
conclusionThe significance of the quality indicator "preoperative stay" without division into whether this was administrative or patient-related must be considered critically. For fall-related fractures in hospital the time of the accident or diagnosis should be considered.
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