TY  - JOUR
PY  - 2014//
TI  - Hip fractures and chronic alcohol excess: a series of 7,023 cases
JO  - Hip international : the journal of clinical and experimental research on hip pathology and therapy
A1  - Johnston, Laura E.
A1  - Parker, Martyn J.
SP  - 644
EP  - 649
VL  - 24
IS  - 6
N2  - We aim to compare trends in characteristics and outcomes for 131 patients with evidence of excess alcohol intake at the time of admission with a hip fracture against 6,892 hip fracture patients with no evidence of alcohol excess. Alcohol excess was determined by a finding of abnormal liver function tests in association with a history of excessive alcohol consumption. Patients who consumed excess alcohol were younger (64 versus 80 years mean age), more likely to be male (47% versus 22%), smoke cigarettes (54% versus 11%), be more mobile and less likely to use a walking aid (28% versus 46%). They were also more likely to sustain an extracapsular fracture (53% versus 39%) and to be living in their own homes at the time of injury (85% versus 66%). Hypertension and cardiac disease were less common in those with alcohol excess. Postoperatively those with alcohol abuse had a shorter hospital stay (mean nine days versus 16 days) but were at a greater risk of developing deep wound infections (2.3% versus 0.6%). For those patients who sustained intracapsular fractures treated by internal fixation there was an increased risk of fracture non-union occurring (29% versus 16%) but there were no other differences in operative complications.<p/>  <p>Language: en</p>
LA  - en
SN  - 1120-7000
UR  - http://dx.doi.org/10.5301/hipint.5000156
ID  - ref1
ER  -