학술논문

A nationwide analysis of geriatric proximal humerus fractures: trends, outcomes, and cost
Document Type
article
Source
Trauma Surgery & Acute Care Open, Vol 8, Iss 1 (2023)
Subject
Surgery
RD1-811
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Language
English
ISSN
2397-5776
Abstract
Background In the USA, proximal humerus fractures (PHF) are the third most common fracture among the elderly. Although most geriatric PHF are treated conservatively, surgical management remains an option. This retrospective study compares annual trends, patient outcomes, and hospital costs between operatively and non-operatively managed geriatric PHF.Methods The Healthcare Cost and Utilization Project Nationwide Inpatient Sample was queried from 2012 to 2015. Geriatric patients with PHF were identified and those who underwent operative or non-operative management were compared in trends, outcomes and costs.Results In total, 137 810 patients met inclusion criteria, of which 51 795 (37.6%) underwent operative management. The operative cohort was younger (76.6 vs 80.9, p