Periprosthetic fractures: the next fragility fracture epidemic? A national observational study.

摘要: Objectives Periprosthetic fractures have considerable clinical implications for patients and financial healthcare systems. This study aims to determine the burden of periprosthetic lower upper limbs in England identify any factors associated with differences treatment outcome. Design A national, observational study. Setting England. Participants All individuals admitted hospital between 1 April 2015 31 December 2018. Primary secondary outcome measures Mortality, length stay, change rate admissions. Methods We analysed Hospital Episode Statistics data using International Classification Diseases 10th Revision code M96.6 (Fracture bone following insertion orthopaedic implant, joint prosthesis, or plate) recorded 2013 determined demographics, procedures performed, mortality rates discharge destinations. Patient characteristics having a procedure during index admission were estimated logistic regression. The annual increase admissions was Poisson Results Between 2018, there 13 565 who had 18 888 (89.5% emergency) primary diagnosis field. There 13% year-on-year fracture that period. Older people, people living deprived areas those heart failure neurological disorders less likely receive an operation. 14.4% did not return home after discharge. overall inpatient 4.3% total 30-day 3.3%. Conclusions operational is increasing rapidly. suggest management should be undertaken funded similar manner successfully employed sustaining hip fractures, national standards collection monitor improve performance.