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Hip Fractures in Elderly – Ten Years Analysis
Collegium antropologicum, 34 supplement 2 (2010), 2; 199-204. urn:nbn:hr:184:143929
Cicvarić, Tedi; Benčević-Striehl, Henrietta; Juretić, Iva; Marinović, Marin; Gržalja, Nikola; Oštrić, Marin

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Cicvarić, T., Benčević Striehl, H., Juretić, I., Marinović, M., Gržalja, N. & Oštrić, M. (2010). Hip Fractures in Elderly – Ten Years Analysis. Collegium antropologicum, 34 supplement 2. (2), 199-204. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:143929

Cicvarić, Tedi, et al. "Hip Fractures in Elderly – Ten Years Analysis." Collegium antropologicum, vol. 34 supplement 2, no. 2, 2010, pp. 199-204. https://urn.nsk.hr/urn:nbn:hr:184:143929

Cicvarić, Tedi, Henrietta Benčević Striehl, Iva Juretić, Marin Marinović, Nikola Gržalja and Marin Oštrić. "Hip Fractures in Elderly – Ten Years Analysis." Collegium antropologicum 34 supplement 2, no. 2 (2010): 199-204. https://urn.nsk.hr/urn:nbn:hr:184:143929

Cicvarić, T., et al. (2010) 'Hip Fractures in Elderly – Ten Years Analysis', Collegium antropologicum, 34 supplement 2(2), pp. 199-204. Available at: https://urn.nsk.hr/urn:nbn:hr:184:143929 (Accessed 27 December 2024)

Cicvarić T, Benčević Striehl H, Juretić I, Marinović M, Gržalja N, Oštrić M. Hip Fractures in Elderly – Ten Years Analysis. Collegium antropologicum [Internet]. 2010 [cited 2024 December 27];34 supplement 2(2):199-204. Available at: https://urn.nsk.hr/urn:nbn:hr:184:143929

T. Cicvarić, H. Benčević Striehl, I. Juretić, M. Marinović, N. Gržalja and M. Oštrić, "Hip Fractures in Elderly – Ten Years Analysis", Collegium antropologicum, vol. 34 supplement 2, no. 2, pp. 199-204, 2010. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:143929. [Accessed: 27 December 2024]

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Metadata
Title (english)Hip Fractures in Elderly – Ten Years Analysis
Title (croatian)Prijelomi kuka u starijoj dobi - analiza kroz 10 godina
AuthorTedi Cicvarić
AuthorHenrietta Benčević-Striehl
AuthorIva Juretić
AuthorMarin Marinović
AuthorNikola Gržalja
AuthorMarin Oštrić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Surgery)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (english)
Geriatric hip fractures (GHP) are the major problem in the geriatric traumatology and it is estimated that treatment of GHF will spend a large amount of health care resources1–5. The aim of this retrospective study was to compare differences in incidence of operatively treated patients with GHF, type of treatment depending of the type of fracture, early postoperative mortality, length of stay and costs of used implants within a 10 years period. Surgically treated 2478 patients, older than 65 years with hip fractures were included in the study. Patients were grouped according to the type of fracture (femoral neck fracture or intertrochanteric femoral fracture) and used implant. Results showed increasing trend in GHF in our County in the last 10 years. There was a shifting trend in used implants, and new surgical techniques were used more commonly in the last few years. In observed period there were no significant changes in revision surgery and length of hospital stay. The mortality decreased, especially in males, but generally it was not in correlation with used implant. At the 10-years period increase in patients with GHF of 179% was followed with 4 time higher increase in implant prices. Present reimbursement in health care system does not calculate the difference of implant costs in hospital expenses, therefore proper usage of modern implants and careful planning in the treatment of GHF is necessary.
Abstract (croatian)
Prijelomi kuka u starijoj dobi su najveći problem u gerijatrijskoj traumatologiji i može se očekivati da će se na lije čenje ovih prijeloma u budućnosti utrošiti velika količina sredstava iz zdravstvenih fondova. Cilj ove retrospektivne studije bio je usporediti razlike u: incidenciji operativno liječenih bolesnika s prijelomom kuka u starijoj dobi, načinu liječenja ovisno o tipu prijeloma, ranom poslijeoperacijskom mortalitetu, dužini trajanja hospitalizacije i cijeni korištenih implantata, u razdoblju od 10 godina. U studiju je uvršteno 2478 pacijenata, starijih od 65 godina, s prijelomom u području kuka koji su razvrstani s obzirom na tip prijeloma (prijelom u području vrata bedrene kosti ili prijelom u području trohanterne regije bedrene kosti). Retultati su pokazali porast incidencije prijeloma kod bolesnika starije dobi u našoj županiji. Prisutan je trend korištenja novijih implantata u posljednjim godinama. U analiziranom razdoblju nije uočena značajnija promjena u broju reoperacija i dužini hospitalizacije. Mortalitet je bio u opadanju, naročito u muškoj populaciji, ali ukupno gledano nije bio u korelaciji s tipom korištenog implantata. U desetogodišnjem razdoblju, porast bolesnika starije dobi s prijelomom kuka od 179% bio je praćen s 4 puta većom cijenom implantata, stoga je u liječenju prijeloma kuka kod starijih bolesnika potrebno pravilno indicirati i pažljivo planirati upotrebu modernih implantata.
Keywords (english)
Languageenglish
Publication typeProfessional paper - Professional paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium antropologicum
Numberingvol. 34 supplement 2, no. 2, pp. 199-204
p-ISSN0350-6134
URN:NBNurn:nbn:hr:184:143929
Publication2010
Document URLhttps://hrcak.srce.hr/51657
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2020-04-20 20:20:39