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Table 1 Data for all 14,551 patients at time of admission by indication and type of hospital

From: Patients with femoral or distal forearm fracture in Germany: a prospective observational study on health care situation and outcome

 

Femoral fracture patients

Forearm fracture patients

 

All hospitals

Acute-care hospitals

Rehabilitation hospitals

Acute-care hospitals

Number of patients

12,520

3914 (31.3%)

8606 (68.7%)

2031 (100%)

Sex

F: 9580 (76.5%)

F: 2975 (76.0%)

F: 6605 (76.7%)

F: 1658 (81.6%)

 

M: 2940 (23.5%)

M: 939 (24.0%)

M: 2001 (23.3%)

M: 373 (18.4%)

Age: mean (± SD)

F: 79.1 (9.9)

Comparison acute-care versus rehabilitation facilities:

F: 69.4 (12.3)

 

M: 72.5 (12.9)

F: 81.3 (9.8) versus 78.1 (9.9) Δ = 3.2 years (p < 0.0001)

M: 59.4 (13.8)

 

(p < 0.0001)

M: 73.8 (13.3) versus 71.9 (12.6) Δ = 1.9 years (p < 0.0002)

(p < 0.0001)

BMI (kg/m 2 )

< 25: 56.3%

Acute-care versus rehabilitation: < 25: 60.6% vs. 54.4%

< 25: 42.7%

 

25–29.9: 32.6%

25–29.9: 30.8% vs. 33.4%

25–29.9: 42.2%

 

≥ 30: 11.1%

≥ 30: 8.6% vs. 12.2%

≥ 30: 15.2%

  

(p < 0.0001)

 

ASA classification

(I) 11.1%

Acute-care versus rehabilitation: (I): 5.3% vs. 13.6%

(I) 28.8%

 

(II) 46.7%

(II): 34.2% vs. 52.4%

(II) 51.4%

 

(III) 38.7%

(III): 55.2% vs. 31.3%

(III) 19.1%

 

(IV+V) 3.6%

(IV+V): 5.3% vs. 2.7%

(IV+V) 3.6%

  

(p < 0.0001)

 

Presenting fracture (% of all patients)

Proximal femur: 10,865 (86.8%) Distal femur: 138 (1.1%) Combination (usually with radius) or unclassified: 1,517 (12.1%)

Proximal femur: 3623 (92.6%) Distal femur: 27 (0.7%) Combination (usually with radius) or unclassified: 264 (6.7%)

Proximal femur: 7242 (84.2%) Distal femur: 111 (1.3%) Combination (usually with radius) or unclassified: 1253 (14.6%)

F: left arm 58.9%, right arm 39.6%, both arms 1.5% M: left arm 48.4%, right arm 50%, both arms 1.6%

Previous fracture (% of all patients)

4010 (32.0%)

1170 (29.9%)

2840 (33.0%)

569 (28.0%)

Fracture location (% of all patients with a previous fracture, multiple locations possible)

Radius: 11.2%

Radius: 10.4%

Radius: 11.6%

Radius: 12.6%

 

Humerus: 4.5%

Humerus: 4.3%

Humerus: 4.7%

Humerus: 2.8%

 

Vertebra: 4.4%

Vertebra: 3.7%

Vertebra: 4.7%

Vertebra: 2.6%

 

Femur: 7.4%

Femur: 7.2%

Femur: 7.5%

Femur: 3.0%

 

Other: 12.4%

Other: 11.2%

Other: 12.9%

Other: 11.8%

Low bone density

33.7%

25.9% of 792 patients

37.0% of 1889 patients

23.4% of 590 patients

Reported comorbidities (% of all patients, multiple comorbidities possible)

Hypertension: 61.2%

Hypertension: 64.6%

Hypertension: 59.6%

Hypertension: 48.9%

 

Diabetes: 20.5%

Diabetes: 22.6%

Diabetes: 19.5%

Diabetes: 11.3%

 

CHD: 36.0%

CHD: 45.1%

CHD: 31.7%

CHD: 21.2%

 

MI: 7.0%

MI: 7.6%

MI: 6.7%

MI: 3.2%

 

PAD: 13.5%

PAD: 20.7%

PAD: 10.2%

PAD: 8.2%

 

Stroke: 11.8%

Stroke: 14.0%

Stroke: 10.9%

Stroke: 4.8

 

Arthritis: 34.8%

Arthritis: 30.0%

Arthritis: 36.9%

Arthritis: 23.9%

 

Rheumatism: 5.0%

Rheumatism: 5.4%

Rheumatism: 4.8%

Rheumatism: 3.6%

 

COPD: 11.4%

COPD: 13.1%

COPD: 10.7%

COPD: 7.4%

 

Malignant tumour: 10.1%

Malignant tumour: 10.0%

Malignant tumour: 10.2%

Malignant tumour: 5.9%

 

Kidney dysfunction: 6.0%

Kidney dysfunction: 8.9%

Kidney dysfunction: 4.6%

Kidney dysfunction: 2.0%

  1. ASA classification: I = normal healthy patient; II = patient with mild systemic disease; III = patient with severe systemic disease that is not incapacitating; IV = patient with incapacitating systemic disease that is a constant threat to life; V = moribund patient/CHD = Coronary Heart Disease/MI = Myocardial Infarction/PAD = Peripheral Arterial Disease/COPD = Chronic Obstructive Pulmonary Disease