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Title: Orthogeriatrics in Malta : a 3 year experience
Authors: Zammit, Paul
Ferry, Peter
Cordina, John
Vassallo, Mark
Dalli, Stephanie
Vella, Antoine
Bugeja, Vincent
Muscat, Jeffrey
Zammit, Kristian
Keywords: Geriatric orthopedics -- Malta
Hip fractures
Issue Date: 2016
Publisher: Malta Medical Journal
Citation: Malta Medical Journal. 2016, Vol. 28(1), p. 38-40
Abstract: The orthogeriatric service in Malta started in 2012 and expanded in 2014. From admission, the patient is offered a ward based hip fracture programme that includes orthogeriatric assessment, management and co-ordinated multidisciplinary review. 457 patients were seen by the orthogeriatric service when this study was done. Mean age was 83 and 69% of patients were female. The Nottingham Hip Fracture Score (NHFS) is a scoring system that reliably predicts 30-day and 1-year mortality for patients after hip fracture. It is made up of seven independent predictors of postoperative mortality that have been incorporated into a risk score. The score ranges from 0-10 and the mean score for this cohort was 5.1. There was a statistically significant correlation between age and high NHFS scores. 30 day mortality was 5.9% and 1 year mortality was 24.4%. Compared with the Nottingham data both 30 day and 1 year mortality were less for the orthogeriatric department in Malta. The orthogeriatric service in Malta achieved better results when comparing mortality with the UK. In the future expansion of data collected should be considered to better evaluate standards of care in the department.
Appears in Collections:MMJ, Volume 28, Issue 1
MMJ, Volume 28, Issue 1
Scholarly Works - FacM&SMed
Scholarly Works - FacSoWGer

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