Tuesday, April 6, 2010

Perceptions vs Reality Can Mean Life or Death!

Researchers have discovered that there are several variables that can have a statistical effect of patient survival, yet many "...surgeons placed less importance on sex, type of anesthesia, and ASA score [level of anemia]...."
This new information could decrease the high number of deaths, up to 22%, from hip fractures and resulting surgery.
Evidence Versus Beliefs About Predictors of
Outcome
by Michael Zlowodzki, MD; Paul Tornetta III, MD; George Haidukewych, MD; Beate P. Hanson, MD, MPH; Brad Petrisor, MD, MSc; Marc F. Swiontkowski, MD; Emil H. Schemitsch, MD; Peter V. Giannoudis, MD; Mohit Bhandari, MD, MSc, FRCSC
Knowledge of predictors of outcome can and should influence
treatment decisions and can subsequently improve outcomes

Hip fractures have devastating consequences for patients
and their families, including a 22% mortality rate within 1 year
postoperatively3 and substantial impairment of independence and
quality of life.4 Hip fractures also account for more hospital days
than any other musculoskeletal injury and represent more than two-thirds of all
hospital days due to fractures.5

Figure: The responses of American surgeons vs European surgeons regarding predictors of outcome after operative treatment of femoral neck fractures
Figure:
The responses of American surgeons vs European surgeons regarding predictors of outcome after operative treatment of femoral neck fractures.
greatest discrepancy

between
survey and current evidence

related to the type of anesthesia
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