Medical and economic consequences of perioperative complications in older hip fracture patients

• DOI: 10.1007/s11657-020-00843-z
• Publication Date: 2020-11-06T08:04:45Z
• Authors: Tom Knauf; Juliana Hack; Juliane Barthel; Daphne Eschbach; Carsten Schoeneberg; Steffen Ruchholtz; Benjamin Buecking; Rene Aigner
• Keywords: Hip Fracture

Patients suffering from complications during inpatient treatment after hip fracture surgery are associated with a worse mid-term outcome. While surgically treatable only delay the healing process, internal seem to worsen outcome in long run. All come significant increased costs hospital stay.Due demographic changes, importance of fractures is still increasing nowadays. Not surgical but also medical represent major challenge those patients. Nevertheless, few known about functional, medical, and economic consequences complications.A total 402 patients ≥ 60 years were observed prospectively at German university hospital. Complications assessed stay classified by Clavien Dindo. Afterwards their influence on acute care was examined as well mortality, health-related quality life (HRQL) (EQ5D), functional capacities (Barthel index), mobility (Tinetti score) follow-up periods 6 12 months.Complications that required revision/treatment (type III) an months' while type II IV did not mortality months. Six months surgery, HRQL, Barthel score, Tinetti score reduced all different types complications. After however, following remained reduced, scores improved III complication. led significantly costs.The results present study emphasize crucial role perioperative older fractures. Therefore, special attention has be given prevention complications, e.g., orthogeriatric models, which have been shown effective reduction