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clinical skills
patient care
injury
paramedic

Acute medical condition of patients with femoral neck fracture

02 February 2022
Features
02 February 2022
Volume 14 · Issue 2

Abstract

The main objective of this study was to analyse the acute medical condition of patients at the earliest possible time after femoral neck fracture. Emergency medical services (EMS) data from five counties and cities in the state of Hesse, Germany, over 2017–2019 were analysed. The highest incidence of fracture was in those aged 80 years or above. Of all patients, 94.57%–95.49% were admitted to hospital for inpatient care, 3.40%–4.41% for outpatient care and 0.25%–0.60% for immediate intervention. Patients' hospital admission priority was significantly correlated with circulatory system impairment and severity of injury and pain. Other correlations were identified, indicating relationships between different organ systems in patients with femoral neck fractures. As expected, patients with femoral neck fracture are mainly treated as inpatients.

Fractures are frequent events; in 2017, a total of 143 350 osteoporotic femoral fractures occurred in Germany (Möckel et al, 2020). In the same year in the UK, approximately 520 000 osteoporotic fractures were diagnosed, of which 19% were hip fractures (International Osteoporosis Foundation (IOF), 2018a).

Femoral neck (hip) fractures place a major burden on patients, relatives and the healthcare system. One year after a hip fracture, the loss in patients' quality of life is comparable to that after an amputation in patients with diabetes (Vokó et al, 2017). In addition, 1-year mortality after first hip fracture is 14.1% (Lee et al, 2016) and up to 370 hours of care per 1000 persons with osteoporotic hip fracture have to be provided by relatives (IOF, 2018b). The annual costs related to hip fracture are estimated to be almost €6 billion (£5.2 billion) in Germany and more than £2.5 billion in the UK (IOF, 2018a; 2018b).

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Paramedics
Hip fracture
Musculoskeletal disease
Osteoporosis
Inpatient care