These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


PUBMED FOR HANDHELDS

Search MEDLINE/PubMed


  • Title: Mortality and serum urea and electrolytes on admission for hip fracture patients.
    Author: Lewis JR, Hassan SK, Wenn RT, Moran CG.
    Journal: Injury; 2006 Aug; 37(8):698-704. PubMed ID: 16815394.
    Abstract:
    OBJECTIVE: To assess the relationship between pre-operative serum urea and electrolyte concentrations and mortality in patients with hip fractures requiring surgery. METHODS: A prospective observational study of 2963 consecutive patients admitted to a single trauma unit with a hip fracture, treated operatively. RESULTS: The 30-day mortality for patients with low and normal urea concentrations was 6.9%. The 30-day mortality for patients with raised urea concentrations was almost double (11.5%). A raised admission serum urea concentration was an independent predictor for mortality at 30 days, 90 days, 1 year and 2 years. Mortality was significantly increased in patients admitted with: raised or low serum sodium, raised serum potassium and raised serum creatinine. CONCLUSION: Mortality is high following hip fracture. Patients admitted with a raised serum urea are at increased risk of death at all time intervals analysed up to and including 2 years. This group of patients may require a separate care pathway that provides more intensive management of fluid and electrolyte balance.
    [Abstract] [Full Text] [Related] [New Search]