Guideline on Hip Fracture Treatment in Elderly in Choaprayayomraj Hospital : A Prospective Study

Abstract

A prospective study was carried out to assess a clinical practice guideline on the treatment of a fracture of the femoral neck or intertrochanteric fracture in elderly.  Eigthy four patients, aged 60 years and over, were included in this study during 1 February 30 September 2007.  The outcomes to be measured were  1) the mortality rate during hospitalization,  2) the 6 month mortality rate after hip fracture,  3) the ambulatory ability at a followup of 6 months,  4) ambulation at 6 months compare with prefracture ambulatory ability.  In this study, the mortality rate during hospitalization was nil.  The 6 month mortality rate after hip fracture was 14.29 percent.  At a followup of 6 months there were 7 (11.67%) independent community ambulators, 24 (40%) community ambulators with walking aids, 14 (23.33%) household ambulators with walking aids and 15 (25%) nonfunctional ambulators.  Twelve (20%) patients regained their prefracture ambulatory ability and 48 (80%) lost some degree of ambulatory ability.  This guideline is safe and 75 percent patients can resume walking.