Author/Editor		Koglot, Franci; Štrbenc-Mozetič, Marija; Beltram, Matej
Title		Zlom kolka pri starostniku
Translated title		Hip fractures in the elderly patient
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 70, št. 11
Publication year		2001
Volume		str. 661-3
Language		slo
Abstract		Background. Hip fractures are typical of the ageing population. They represent a severe trauma for the elderly patient due to significant impact on life quality and morbidity. We analyzed the characteristics of patients with hip fractures, the methods and success of treatment. In conclusion, the importance of continuous team approach and surgical treatment within 24 hours are stressed. Methods. We retrospectively evaluated patients admitted for femoral neck and intertrochanteric fractures between 1994-1999. The incidence of these fractures, patient age and sex; comorbidity, methods of treatment, hospital stay and success of treatment with regard to ambulatory status were established. Results. 662 patients were treated in the above mentioned period, yielding a 1%o annual incidence for the choosen population. The mean patient age was 76 years; there were 426 female (64%) and 236 male patients (36%). 336 patients (51 %) had a history of accompanying disease, in 73 patients (11%) additional fractures were diagnosed. 30 patients (4.5%) were treated conservatively, 632 (95.5% underwent surgery. The mean hospital stay length was 17 days. Success of treatment was evaluated as good in 441 patients (67%), satisfactory in 112 patients (17%) and poor in 78 patients (12%). 31 patients (5%) died during hospital admission. (Abstract truncated at 2000 characters).
Summary		Izhodišča. Zlom kolka je poškodba, značilna za starejše prebivalstvo. Za starostnika predstavlja hudo poškodbo, ker pomembno vpliva na kakovost življenja in umrljivost. V prispevku obravnavamo značilnosti bolnikov z zlomom kolka ter način in uspešnost zdravljenja. V zaključku utemeljujemo pomembnost razpoložljivosti stalne ekipe ter operativne oskrbe v prvih 24 urah. Preiskovanci in metode. V retrospektivni raziskavi smo zajeli bolnike, ki so bili med letoma 1994 in 1999 zdravljeni zaradi zloma vratu in intertrohanternega zloma stegnenice. Ugotavljali smo incidenco teh poškodb, starost in spol bolnikov, prisotnost dodatnih zlomov in bolezni, način zdravljenja, ležalno dobo ter uspeh zdravljenja s primerjanjem pomičnosti bolnikov pred poškodbo in po zaključenem zdravljenju. Rezultati. V omenjenem obdobju smo zdravili 662 bolnikov, kar predstavlja letno incidenco 1% glede na izbrano prebivalstvo. Povprečna starost poškodovancev je bila 761et; 426 bolnikov (64%) je bilo žensk, 236 (36%) moških. 336 bolnikov (51%) je bilo prizadetih zaradi drugih bolezni že pred prihodom v bolnišnico, prt 73 bolnikih (11%) smo ugotavljali prisotnost dodatnih zlomov. 30 bolnikov (4,5%) je bilo zdravljenih konzervativno, 632 (95,5%) jih je bilo operiranih. Dolžina povprečne ležalne dobe je bila 17 dni. Uspeh zdravljenja smo ocenili kot dober pri 441 bolnikih (67%), zadovoljiv pri 112 bolnikih (17%) in slab pri 78 bolnikih (12%). 31 bolnikov (5%) je umrlo med bivanjem v bolnišnici. (Izvleček skrajšan pri 2000 znakih).
Descriptors		FEMORAL FRACTURES FRACTURE FIXATION AGED TREATMENT OUTCOME OSTEOPOROSIS