Articles Vol. 64 No. 1 27/12/2022

21. ASSESSING REDUCTION OF MORTALITY AND POSTOPERATIVE COMPLICATIONS IN ELDERLY PATIENTS TREATED AT NGHE AN HOSPITAL FOR TRAUMATOLOGY AND ORTHOPAEDICS

Nguyen Thi Huong Thu1,2, Nguyen Hoai Nam1,2, Nguyen Quang Thieu3,4, Tran Quang Phuc3,4
1 Nghe An Hospital for Traumatology and Orthopaedics
2 Bệnh viện Chấn thương Chỉnh hình Nghệ An
3 National Institute of Malariology, Parasitology and Entomology
4 Viện Sốt rét - Ký sinh trùng - Côn trùng Trung ương
Corresponding author: thubvctna@gmail.com
DOI: 10.52163/yhc.v64i1.587
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Abstract

Objectives: Prevention of hospital-acquired infections before, during and after surgery plays a role
in determining hospital quality, reducing complications and 24-hour, 48-hour, and 6-month postoperative mortality.
Study subjects and methods: The study was conducted on 30 medical staff and elderly patients with
intertrochanteric and/or femoral neck fractures using descriptive methods and intervention.
Study results: After the training on compliance with professional procedures according to Circular
No. 19/2013/TT-BYT for medical staff in Nghe An Hospital for traumatology and orthopedics, the
reduction rate of mortality and complications in patients with partial hip replacement and by internal
fixing is after 24 hours and 48 hour surgery was 100.0%; surgical site infection decreased 35.8% after
one month and decreased 100% after six months; and the mortality was reduced 100% after three
months and 43.87% after six months.

References
[1]
Díaz AR, Navas PZ, Risk factors for trochanteric Google Scholar
[2]
and femoral neck fracture. Rev Esp Cir Ortop Google Scholar
[3]
Traumatol., Vol. 62(2):pp.134-141, 2018. Google Scholar
[4]
Liyun L, Fang G, Youwen L et al., Association of Google Scholar
[5]
surgery time and early curative effect for elderly Google Scholar
[6]
patients with femoral neck fracture in China, Google Scholar
[7]
Biomedical Research, Issue 10, 2017. Google Scholar
[8]
Trường Đại học Y Hà Nội, Giáo trình Chấn Google Scholar
[9]
thương chỉnh hình, Nhà xuất bản Y học, 2018. Google Scholar
[10]
Viện Sốt rét - Ký sinh trùng - Côn trùng Trung Google Scholar
[11]
ương, Phương pháp nghiên cứu khoa học, sách Google Scholar
[12]
giảng dạy đại học và sau đại học, Nhà xuất bản Google Scholar
[13]
Y học, 2018. Google Scholar
[14]
Willey M, Welsh ML, Roth TS et al., The Google Scholar
[15]
Telescoping Hip Plate for Treatment of Femoral Google Scholar
[16]
Neck Fracture: Design Rationale, Surgical Google Scholar
[17]
Technique and Early Results, Iowa Orthop Google Scholar
[18]
Jounal.,Vol.38:pp.61-71, 2018. Google Scholar
[19]
American Diabetes Association, Classification Google Scholar
[20]
and Diagnosis of Diabetes: Standards of Medical Google Scholar
[21]
Care in Diabetes-2020. Diabetes Care, vol. 43, Google Scholar
[22]
no. Suppl 1, pp. S14-S31.doi PMID 31862745., Google Scholar
[23]
Vol.43(S1), S14–S31, 2020. Google Scholar
[24]
Fakler JK, Grafe A, Dinger J et al., Perioperative Google Scholar
[25]
risk factors in patients with a femoral neck Google Scholar
[26]
fracture – influence of 25-hydroxyvitamin D and Google Scholar
[27]
C-reactive protein on postoperative, 2016. Google Scholar
[28]
Korkmaz MF, Erdem MN, Disli Z et al, Outcomes Google Scholar
[29]
of trochanteric femoral fracturestreated Google Scholar
[30]
with proximal femoral nail:an analysis of Google Scholar
[31]
consecutive cases., Clin Interv Aging., Google Scholar
[32]
Vol.9:pp.569-74, 2014. Google Scholar