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Open Access

Outcome of femoral fractures care as a measure of trauma care between level I and level II trauma systems in Israel

A Khoury, Y Weil, M Liebergall, R Mosheiff
DOI: 10.1136/tsaco-2016-000041 Published 1 December 2016
A Khoury
Hadassah University Hospital, Jerusalem, Israel
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Y Weil
Hadassah University Hospital, Jerusalem, Israel
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M Liebergall
Hadassah University Hospital, Jerusalem, Israel
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R Mosheiff
Hadassah University Hospital, Jerusalem, Israel
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Article Figures & Data

Tables

  • Table 1

    Patient demographics among the study groups

    Level ILevel IIp Value
    Age (average±SD)33.3±13.533±12.1NS
    Mechanism of injury
     Motor vehicle accident66%64%NS
     Fall from height10.3%8%NS
     Penetrating6%4%NS
     Other11%15%NS
     Unknown/missing6.7%9%NS
    Associated injuries
     Other skeletal61.3%59.9%NS
     Abdominal14.3%15.9%NS
     Chest24.4%29.2%NS
     Head19.3%11.5%0.18
    ISS
     94650.5NS
     10–1421.419.3NS
     16–2411.112.8NS
     25–7521.417.4NS
    Associated comorbidities18.5%19%
    • NS, not significant.

  • Table 2

    Fracture data and treatment modalities among the study groups

    Level I (%)Level II (%)p Value
    Fracture classification (AO/OTA)
     32-A(1–3)3948NS
     32-B/C5647NS
     Bilateral femur65NS
     Hip involvement12.77.9NS
     Open fractures2537NS
     Open reduction2421NS
    Implant type
     Antegrade nail7873NS
     Other (plate, retrograde nail, cephalomedullary nail)1722NS
     Unknown55NS
    • NS, not significant.

  • Table 3

    Length of stay, ICU stay, and discharge destinations among the study groups

    LITCRTC
    NPercentNPercent
    Discharge
     Home7156.36456.1
     Rehabilitation4132.23429.8
     Other hospital43.276.1
     Death97.143.5
    ICU stay
     Yes1713.5119.6
    Length of stay
     More than 11 days6350.05851.0
    • ICU, intensive care unit; ISS, Injury Severity Score; LITC, level I trauma center; RTC, regional trauma center.

  • Table 4

    ISS, surgical team, and associated injuries

     LITCRTC
    NPercentNPercent
    ISS
     9–143035.33039.5
     +163380.32873.7
    Senior surgeon
     Attending3554.74552.9
     Non-attending*2341.8836.4
    Associated injuries
     Skeletal5065.84463.8
     Non-orthopedic**7156.83367.3
    • *p<0.05, **p<0.001.

    • ISS, Injury Severity Score; LITC, level I trauma center; RTC, regional trauma center.

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Outcome of femoral fractures care as a measure of trauma care between level I and level II trauma systems in Israel
A Khoury, Y Weil, M Liebergall, R Mosheiff
Trauma Surg Acute Care Open Dec 2016, 1 (1) e000041; DOI: 10.1136/tsaco-2016-000041

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Outcome of femoral fractures care as a measure of trauma care between level I and level II trauma systems in Israel
A Khoury, Y Weil, M Liebergall, R Mosheiff
Trauma Surg Acute Care Open Dec 2016, 1 (1) e000041; DOI: 10.1136/tsaco-2016-000041
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Outcome of femoral fractures care as a measure of trauma care between level I and level II trauma systems in Israel
A Khoury, Y Weil, M Liebergall, R Mosheiff
Trauma Surgery & Acute Care Open Dec 2016, 1 (1) e000041; DOI: 10.1136/tsaco-2016-000041
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