Comparative Study of Complication and Outcomes Between 7 and 14-Day Skin Traction in Non-Surgical Treatment for Elderly Hip Fracture Patients at Makarak Hospital, Kanchanaburi
Keywords:
skin traction, elderly hip fracture patients, complication, outcomesAbstract
Objective: The objective of this study was to compare the complication and outcomes between 7 and 14-day skin traction in non-surgical treatment for hip fracture in elderly patients.
Methods: This was a retrospective cohort analytic review of closed fracture neck femur and closed fracture intertrochanteric femur patients, aged more than 65 years old, who received non-surgical treatment by skin traction in Makarak Hospital, Kanchanabur,i from January 2017 to December 2020. The total of 110 cases were included and then divided into 7 and 14-day skin traction groups. There were 51 and 59 cases in the first and second groups respectively; afterward, analysis of complication and outcomes was done. The statistics employed for data analysis consisted of descriptive statistics such as frequency distribution, percentage, mean, standard deviation, and reference statistics: independent t test and chi-square test.
Results: There was no difference in general personal data and previous medical condition between both study groups. The reports of urinary tract infection, pneumonia, pressure sore, delirium, heart failure, and arrhythmia were similar in both groups, except for upper respiratory tract infection which showed significantly decrease in the 7-day skin traction group. In addition, duration and cost of hospitalization was statistically less in the 7-day skin traction compare to the 14-day skin traction group (p < .001). Mortality rates at 30 days and 1 year after treatment were also analyzed, and revealed the lower rate in the 7-day skin traction group, however there was no statistical significance. Barthel index score was used to evaluated daily life activity.
Conclusion: 7-day skin traction indicates less complication and more benefit in aspect of duration and cost of hospitalization and daily life activity compare to 14-day skin traction in this comparative study.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
