A Comparative Study of Clinical Outcomes of Surgery and Non-Surgery in Hip Fracture Patients in the Orthopedic Surgical Ward of Mukdahan Hospital
Keywords:
Surgery , Hip Fracture Patients, Clinical Outcomes, Quality of LifeAbstract
Background: Hip fractures are a significant concern in elderly patients, particularly among females, due to their high incidence and the potential for severe complications. Treatment methods are primarily divided into two approaches: non-surgical treatment and surgical treatment, depending on the patient’s condition and the nature of the fracture.
Objective: To compare clinical outcomes and quality of life between hip fracture patients who underwent non-surgical treatment and those who underwent surgical treatment in the orthopedic surgical ward of Mukdahan Hospital.
Methods: This study is a retrospective analysis that collected data on patients with hip fractures who received either non-surgical treatment or surgical treatment in the orthopedic surgical ward of Mukdahan Hospital between January and October 2024. Each group consisted of 50 patients, and data were retrieved from an electronic medical records database. The Independent t-test was used for statistical analysis.
Results: Length of hospital stay: Patients who underwent surgical treatment had a significantly shorter hospital stay compared to the non-surgical group (p < 0.05). Complication rate: The surgical group had a significantly lower complication rate compared to the non-surgical group (p < 0.01). Recovery time: Patients who underwent surgery recovered significantly faster than those in the non-surgical group (p < 0.05). Mobility recovery: A significantly higher proportion of patients in the surgical group showed improved mobility compared to the non-surgical group (p < 0.05). Post-treatment quality of life: Patients in the surgical group had significantly higher average quality of life scores compared to those in the non-surgical group (p < 0.05).
Conclusion: Surgical treatment is the primary approach for hip fracture patients who are fit for surgery. It should be the first-line treatment for eligible patients, as it facilitates faster recovery, reduces the risk of complications associated with prolonged hospitalization, and improves mobility. Patients who undergo surgery generally experience a better post-treatment quality of life, allowing them to return to daily activities more quickly. Therefore, surgical treatment is recommended as the preferred approach for hip fracture patients with minimal health limitations.
Keywords: Surgery, Hip Fracture Patients, Clinical Outcomes, Quality of Life
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