6 research outputs found
French ICUs fight back: An example of regional ICU organisation to tackle the SARS-CoV-2 outbreak
International audienc
French ICUs fight back: An example of regional ICU organisation to tackle the SARS Cov-2 outbreak
International audienc
Escape game training to improve non-technical team skills in the operating room
International audienc
Risk factors and mortality of patients undergoing hip fracture surgery: a one-year follow-up study
International audienceHip fracture (HF) remains a main issue in the elderly patient. About 1.6 million patients a year worldwide are victims of a HF. Their incidence is expected to rise with the aging of the world's population. Identifying risk factors is mandatory in order to reduce mortality and morbidity. The aim of the study was to identify risk factors of 1-year mortality after HF surgery. We performed an observational, prospective, single-center study at Amiens University Hospital (Amiens, France). After ethical approval, we consecutively included all patients with a HF who underwent surgery between June 2016 and June 2017. Perioperative data were collected from medical charts and by interviews. Mortality rate at 12 months was recorded. Univariate analysis was performed and mortality risk factors were investigated using a Cox model. 309 patients were analyzed during this follow-up. Mortality at 1 year was 23.9%. Time to surgery over 48hours involved 181 patients (58.6%) while 128 patients (41.4%) had surgery within the 48hours following the hospital admission. Independent factors associated with 1-year mortality were: age (HR at 1.059 (95%CI [1.005-1.116], p=0,032), Lee score >= 3 (HR at 1,52 (95% CI [1,052-2,198], p=0.026) and time to surgery over 48hours (HR of 1.057 (95% CI [1.007-1.108], p=0.024). Age, delayed surgical (over 48hours) management and medical history are important risk factors of 1-year mortality in this French cohor