The aim of this study is to establish whether management of patients in a unit dedicated to the treatment of hip fractures improves acute outcomes. We prospectively studied 300 patients with hip fractures in two separate groups. Patients in Group 1 were operated on in a mixed trauma unit and recovered in a traditional trauma ward. Patients in Group 2 were operated on in dedicated theatres and recovered in a unit which catered exclusively for hip fractures. The ages, ASA grades, and type of procedure performed in the two groups were comparable. The 30-day mortality rate in Group 2 was 9% as opposed to 12% in Group 1 (P = 0.34). The inpatient length of stay was significantly lower in Group 2 (18 days versus 25 days; P = 0.0002) and so was the time taken to operate (28 hours versus 34 hours; P = 0.04). A greater percentage of patients in Group 2 were discharged home as opposed to a nursing home (75% versus 67%). This difference approached significance (P = 0.18). We conclude that prioritisation and prompt management of patients with hip fractures in a dedicated unit significantly improve time to surgery and significantly decrease length of stay.
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机译：这项研究的目的是确定在专门用于髋部骨折治疗的部门中对患者的管理是否能改善急性预后。我们前瞻性地将300例髋部骨折患者分为两组。第一组的患者在混合创伤科室接受手术，并在传统创伤病房中康复。第2组的患者在专门的剧院接受手术，并在专门为髋部骨折提供治疗的病房中康复。两组的年龄，ASA等级和手术类型具有可比性。第2组的30天死亡率为9％，而第1组为12％（P = 0.34）。第2组的住院住院时间显着降低（18天对比25天； P = 0.0002），手术时间也是如此（28小时对比34小时； P = 0.04）。与疗养院相比，第二组中有更大比例的病人出院（75％比67％）。这种差异接近显着性（P = 0.18）。我们得出的结论是，对专用单元中的髋部骨折患者进行优先处理和及时处理，可显着缩短手术时间并显着缩短住院时间。
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