Incidence of fractures requiring inpatient care

Somersalo, Axel; Paloneva, Juha; Kautiainen, Hannu; Lönnroos, Eija; Heinänen, Mikko; Kiviranta, Ilkka

doi:10.3109/17453674.2014.908340

Cited by 85 publications

(58 citation statements)

References 24 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ankle fractures represent approximately 10% of all fractures and are among the most frequently surgically treated fractures [1,2]. Surgical treatment of ankle fractures may be accompanied by several complications [3,4], and the most frequently encountered complications are related to wound healing and surgical-site infections [1,4,5].…”

Section: Introductionmentioning

confidence: 99%

The role of outpatient visit after operative treatment of ankle fractures

Ovaska

Nuutinen

Madanat

et al. 2016

Injury

View full text Add to dashboard Cite

It is a common practice that patients have a scheduled follow-up visit with radiographs following ankle fracture surgery. The aim of this study was to evaluate whether an early outpatient visit (<3 weeks) after ankle fracture surgery resulted in a change in patient management. For this study, 878 consecutive operatively treated ankle fracture patients with an early outpatient clinical-radiological visit were reviewed. The outcome measure was a change in treatment plan defined as any procedure, medication, or surgical intervention that is not typically implemented during the uncomplicated healing process of an acute fracture. A change in treatment plan was observed in 9.8% of operatively treated ankle fracture patients. The mean age of the patients was 48 years and the mean follow-up time was 64 months. Of the changes in treatment plan, 91% were exclusively due to clinical findings such as infection. Only three of 878 patients required a change in their treatment plan based merely on the findings of the radiographs taken at the outpatient visit. Only 37% of the patients requiring a change in their postoperative management had solicited an unanticipated visit before the scheduled outpatient visit due to clinical problems such as infection or a cast-related issue. Our study showed that every tenth operatively treated ankle fracture patient requires a change in their treatment plan due to a clinical problem such as infection or a cast-related issue. Although at hospital discharge all patients are provided with written instructions on where to contact if problems related to the operated ankle emerge, only one third of the patients are aware of the clinically alarming symptoms and seek care when problems present. Our findings do not support obtaining routine radiographs at the early outpatient visit in an ankle fracture patient without clinical signs of a complication.

show abstract

Section: Introductionmentioning

confidence: 99%

The role of outpatient visit after operative treatment of ankle fractures

Ovaska

Nuutinen

Madanat

et al. 2016

Injury

View full text Add to dashboard Cite

show abstract

“…Ankle fractures represent approximately 10% of all fractures and are among the most frequently encountered surgically treated fractures (Schepers et al 2013, Somersalo et al 2014. The incidence of a rotational ankle fracture is 71-187/ 100000/ year (Jensen et al 1998, Pakarinen et al 2011a, Thur et al 2012, and the most common mechanism of injury is a same level fall (Jensen et al 1998, Thur et al 2012).…”

Section: Epidemiology Of Ankle Fracturesmentioning

confidence: 99%

Complications in ankle fracture surgery

Ovaska¹

2015

Acta Orthopaedica

View full text Add to dashboard Cite

“…2014). These fractures are frequently related to low bone mineral density and are caused by low-energy trauma.…”

mentioning

confidence: 99%

Increased mortality after lower extremity fractures in patients <65 years of age

et al. 2016

Self Cite

View full text Add to dashboard Cite

Background and purpose — The association between mortality and lower extremity fractures (other than hip fractures in older individuals) is unclear. We therefore investigated mortality in adults of all ages after lower extremity fractures that required inpatient care.Patients and methods — Diagnosis code (ICD10), procedure code (NOMESCO), and 7 additional characteristics of patients admitted to the trauma ward at Central Finland Hospital were collected between 2002 and 2008 (n = 3,567). Patients were followed up until the end of 2012. Mortality rates were calculated for patients with all types of lower extremity fractures using data from the population at risk.Results — During the study, 2,081 women and 1,486 men sustained a lower extremity fracture. By the end of follow-up (mean duration 5 years), 42% of the women and 32% of the men had died. For all lower extremity fractures, the standardized mortality ratio (SMR) was 1.9 (95% CI: 1.8–2.0) for women and 2.6 (CI: 2.4–2.9) for men. In patients aged ≥65 years, mortality was increased and of similar magnitude after fractures of the hip, femoral diaphysis, and knee (distal femur, patella, and proximal tibia). In patients aged <65 years, mortality was increased after fractures at all sites. The SMR after fractures at different sites ranged between 2.1 (CI: 1.4–3.2) (ankle) and 6.7 (CI: 5.0–9.0) (hip) in patients aged <65 years and between 0.6 (CI: 0.30–1.1) (leg) and 2.2 (CI: 2.0–2.3) (hip) in patients aged ≥65 years.Interpretation — The post-fracture SMR of patients aged <65 years was at least double that of older patients. Furthermore, the higher mortality observed after proximal fractures of the lower extremity was greater in younger patients. The reasons behind these findings remain unclear.

show abstract

Incidence of fractures requiring inpatient care

Cited by 85 publications

References 24 publications

The role of outpatient visit after operative treatment of ankle fractures

The role of outpatient visit after operative treatment of ankle fractures

Complications in ankle fracture surgery

Increased mortality after lower extremity fractures in patients <65 years of age

Contact Info

Product

Resources

About