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- Talk
- 15/09/2021
- Canada
Treatment and Health Services Outcomes in Older Patella Fracture Patients in Ontario, Canada: A Population Based, Retrospective Cohort
Description
In this presentation, Gurrattan Chandhoke discusses a project focused on treatment and health outcomes for older patients with patella fractures in Ontario, Canada. The study highlights that older adults, particularly those over the age of 66, represent a significant percentage of patella fracture cases, primarily due to low-energy mechanisms. There is a notable lack of understanding regarding the treatment outcomes for this demographic, prompting the research to assess the rates of re-operation and health service use among these patients.
The retrospective cohort study included nearly 24,000 patients, ultimately narrowing down to 6,258 after applying exclusion criteria. Data was collected from various health databases, revealing that a majority (72%) of the patients had received non-operative treatment. The research found that within two years post-surgery, approximately 23.4% required re-operation, often due to hardware removal, while 15.2% returned to the emergency department within 30 days after discharge. Analyzing the predictive factors also indicated that sex, rural residence, co-morbidities, and dementia significantly impacted re-admission rates.
The study's findings conclude that managing patella fractures in older patients is complex and frequently involves complications. Notably, emergency department re-admissions were often unrelated to the original injury, emphasizing the multifaceted nature of care required for this population. The presentation calls for further prospective studies to deepen the understanding of treatment efficacy and health outcomes for older patients with patella fractures.