BACKGROUND Hip fractures and proximal humerus fractures are known to be associated with increased mortality,but the impact on mortality of combining these two common injuries is not well known.AIM To compare mortality...BACKGROUND Hip fractures and proximal humerus fractures are known to be associated with increased mortality,but the impact on mortality of combining these two common injuries is not well known.AIM To compare mortality,inpatient stay and discharge destination for patients with combined hip and proximal humerus fractures with those sustaining isolated hip fractures.METHODS Using the United Kingdom national hip fracture database,we identified all hip fracture patients over the age of 60 admitted to a single trauma unit from 2010-2016.Patients sustaining a proximal humerus fracture in addition to their hip fracture were identified using hospital coding data.We calculated the 30-d and one-year mortality for both the hip fracture cohort and the combined hip and proximal humerus fracture cohort.Other variables recorded included age,gender and whether the proximal humerus was treated with or without an operation.RESULTS We identified 4131 patients with hip fractures within the study period and out of those 40 had sustained both a hip and a proximal humerus fracture.Mean age in the hip fracture cohort was 80.9 years and in the combined fracture group 80.3 years.Out of the 40 patients in the combined group four were treated operatively.The 30-d mortality for our hip fracture cohort was 7.2%compared to the mortality of our combined cohort of 12.5%(P=0.163).The one-year mortality for our hip fracture cohort was 26.4%compared to 40%for the combined fracture cohort(P=0.038).We also found patients with combined injuries were less likely to return to their own home.CONCLUSION The 30-d and one-year mortality is higher for those patients who have sustained a combined hip and proximal humerus fracture when compared to those with a hip fracture alone.展开更多
AT present the total surplus work force in urban andrural areas has reached somewhere between 200 and300 million. As the reform of state-run enterprisescontinues, the number of workers laid-off has subsequentlyescalat...AT present the total surplus work force in urban andrural areas has reached somewhere between 200 and300 million. As the reform of state-run enterprisescontinues, the number of workers laid-off has subsequentlyescalated. How to organize these out-of-work citizens andeffectively utilize valuable human resources is a serious problemand on-going challenge for the government.展开更多
LAST September, Chai Ran, my classmate and roommate in Shanxi, and I took a train to Yuanping to visit our second home. Twenty-five years ago, we 31 students from Beijing went to live in the Xiadalin Village in Yuanpi...LAST September, Chai Ran, my classmate and roommate in Shanxi, and I took a train to Yuanping to visit our second home. Twenty-five years ago, we 31 students from Beijing went to live in the Xiadalin Village in Yuanping, Shanxi Province, where we lived and labored for seven years. In our railway car, Chai told me that Yuanping, to which the Xiadalin Village belonged in the past administration, was celebrating its emergence as a city. Chai had married a villager and had returned to Beijing only two years ago. Her son and daughter, who were both born in the village, had just visited there and had brought her the news. Although I knew that Yuanping had changed a great deal, I was still unable to imagine what it had become, since I had left eighteen years ago. In my memory, it was only a series of streets with展开更多
文摘BACKGROUND Hip fractures and proximal humerus fractures are known to be associated with increased mortality,but the impact on mortality of combining these two common injuries is not well known.AIM To compare mortality,inpatient stay and discharge destination for patients with combined hip and proximal humerus fractures with those sustaining isolated hip fractures.METHODS Using the United Kingdom national hip fracture database,we identified all hip fracture patients over the age of 60 admitted to a single trauma unit from 2010-2016.Patients sustaining a proximal humerus fracture in addition to their hip fracture were identified using hospital coding data.We calculated the 30-d and one-year mortality for both the hip fracture cohort and the combined hip and proximal humerus fracture cohort.Other variables recorded included age,gender and whether the proximal humerus was treated with or without an operation.RESULTS We identified 4131 patients with hip fractures within the study period and out of those 40 had sustained both a hip and a proximal humerus fracture.Mean age in the hip fracture cohort was 80.9 years and in the combined fracture group 80.3 years.Out of the 40 patients in the combined group four were treated operatively.The 30-d mortality for our hip fracture cohort was 7.2%compared to the mortality of our combined cohort of 12.5%(P=0.163).The one-year mortality for our hip fracture cohort was 26.4%compared to 40%for the combined fracture cohort(P=0.038).We also found patients with combined injuries were less likely to return to their own home.CONCLUSION The 30-d and one-year mortality is higher for those patients who have sustained a combined hip and proximal humerus fracture when compared to those with a hip fracture alone.
文摘AT present the total surplus work force in urban andrural areas has reached somewhere between 200 and300 million. As the reform of state-run enterprisescontinues, the number of workers laid-off has subsequentlyescalated. How to organize these out-of-work citizens andeffectively utilize valuable human resources is a serious problemand on-going challenge for the government.
文摘LAST September, Chai Ran, my classmate and roommate in Shanxi, and I took a train to Yuanping to visit our second home. Twenty-five years ago, we 31 students from Beijing went to live in the Xiadalin Village in Yuanping, Shanxi Province, where we lived and labored for seven years. In our railway car, Chai told me that Yuanping, to which the Xiadalin Village belonged in the past administration, was celebrating its emergence as a city. Chai had married a villager and had returned to Beijing only two years ago. Her son and daughter, who were both born in the village, had just visited there and had brought her the news. Although I knew that Yuanping had changed a great deal, I was still unable to imagine what it had become, since I had left eighteen years ago. In my memory, it was only a series of streets with
