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121.
Prospective comparison of hip fracture treatment: 856 cases followed for 4 months in The Netherlands and Sweden 总被引:1,自引:0,他引:1
Margaretha Berglund-R d n Bart A. Swierstra Hans Wingstrand Karl-G ran Thorngren 《Acta orthopaedica》1994,65(3):287-294
In a prospective multicenter study 1115 hip fracture patients were registered in Rotterdam (The Netherlands), Sundsvall and Lund (Sweden). The patients had similar background parameters with a mean age of 78 years, about half of them living alone and just above 80 percent coming from independent living
For cervical fracture, hemiarthroplasty was the predominating treatment in Rotterdam (n 169), whereas osteosynthesis was used in Sundsvall (screws n 135) and Lund (hook-pins n 148). The mean (median) hospitalization time was 32 (20) days in Rotterdam, 16 (12) days in Sundsvall, and 17 (10) days in Lund. Discharge to independent living varied from 53 percent in Lund to 72 percent in Sundsvall. Functional outcome (walking ability and ADL capacity) was at 4 months similar in all groups, but at 2 weeks was lower in Rotterdam. Mortality at 2 weeks / 1 month 14 months was in Rotterdam 4/9/20, in Sundsvall 2/4/13, and in Lund 01311 0 percent.
Trochanteric fractures were treated by screwplate in Rotterdam (n 146) and Lund (n 78), and by Ender nails in Sundsvall (n 11 7). The mean (median) hospitalization time was in Rotterdam 39 (29) days, in Sundsvall 24 (1 5) days and in Lund 19 (11) days. Discharge to independent living varied from 41 percent in Lund to 57 percent in Sundsvall. Functional outcome was similar between the groups. Mortality at 2 weeks / 1 month 14 months was in Rotterdam 2/6/14, in Sundsvall 611 2/19 and in Lund 12/12/18 percent.
Thus, our study has shown that it is possible to perform a prospective multicenter study involving different European countries. The functional out- come after 4 months was very consistent between the centers studied, irrespective of choices made concerning operation method and rehabilitation routines. However, a difference in mortality within these first postoperative months was found, which seems attributable to the operation procedure. 相似文献
For cervical fracture, hemiarthroplasty was the predominating treatment in Rotterdam (n 169), whereas osteosynthesis was used in Sundsvall (screws n 135) and Lund (hook-pins n 148). The mean (median) hospitalization time was 32 (20) days in Rotterdam, 16 (12) days in Sundsvall, and 17 (10) days in Lund. Discharge to independent living varied from 53 percent in Lund to 72 percent in Sundsvall. Functional outcome (walking ability and ADL capacity) was at 4 months similar in all groups, but at 2 weeks was lower in Rotterdam. Mortality at 2 weeks / 1 month 14 months was in Rotterdam 4/9/20, in Sundsvall 2/4/13, and in Lund 01311 0 percent.
Trochanteric fractures were treated by screwplate in Rotterdam (n 146) and Lund (n 78), and by Ender nails in Sundsvall (n 11 7). The mean (median) hospitalization time was in Rotterdam 39 (29) days, in Sundsvall 24 (1 5) days and in Lund 19 (11) days. Discharge to independent living varied from 41 percent in Lund to 57 percent in Sundsvall. Functional outcome was similar between the groups. Mortality at 2 weeks / 1 month 14 months was in Rotterdam 2/6/14, in Sundsvall 611 2/19 and in Lund 12/12/18 percent.
Thus, our study has shown that it is possible to perform a prospective multicenter study involving different European countries. The functional out- come after 4 months was very consistent between the centers studied, irrespective of choices made concerning operation method and rehabilitation routines. However, a difference in mortality within these first postoperative months was found, which seems attributable to the operation procedure. 相似文献
122.
123.
Marie-Louise Muff Christensen Umbreen Yousaf Gerda Engholm Hans Henrik Storm 《European journal of cancer prevention》2006,15(3):266-268
More suicides than expected (standardized mortality ratio=1.3; 95% confidence interval=1.1-1.6) compared to the population risk were found among Danish women with a diagnosis of non-melanoma skin cancer in the period 1971-1999 but not among men. The increased risk might be associated with a different personality type in this cancer group. 相似文献
124.
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127.
Dr. Hans Baltzer 《Virchows Archiv : an international journal of pathology》1926,262(3):681-689
Ohne ZusammenfassungMit 6 Textabbildungen. 相似文献
128.
Hans Hellner 《Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie》1948,261(1-2):96-124
Zusammenfassung Es werden die klinischen und röntgenologischen Besonderheiten der Staphylokokken-, Streptokokken-, Pneumokokken-, Typhus- und Paratyphusbacillenspondylitis besprochen. Sie kommen jetzt häufiger zur Beobachtung.Vor der Überschätzung des Röntgenbildes in der Differentialdiagnose wird gewarnt.Die Differentialdiagnose nichttuberkulöser und tuberkulöser Spondylitis wird besprochen. Sie verlangt eingehende klinische Untersuchung und Beobachtung.Die bessere Prognose, der schnellere Heilverlauf und die einfachere Behandlung der nichttuberkulösen Spondylitis ist hervorzuheben.Abscesse bei nichttuberkulösen Spondyliten müssen frühzeitig operativ eröffnet werden. Bei Lendenwirbelabscessen wird die Abmeißelung der Querfortsätze empfohlen, um den Eiterherd genügend zugänglich zu machen.Mit 20 Textabbildungen. 相似文献
129.
Hans Joachim Klemm 《Virchows Archiv : an international journal of pathology》1941,308(2):459-473
Ohne Zusammenfassung
Mit 7 Abbildungen im Text. 相似文献
130.
Gewerbemedizinalrat Dr. Hans Schramm 《International archives of occupational and environmental health》1941,10(5):460-472
Ohne Zusammenfassung 相似文献