Värmland Blekinge Kronoberg Skåne Västra Götaland Gävleborg Örebro Sörmland Dalarna Gotland Kalmar SWEDEN Stockholm Östergötland Halland Jönköping Uppsala Västerbotten Norrbotten Jämtland 1 Västernorrland 1 Västmanland 2
88 83 83 83 83 82 82 81 80 80 80 80 79 78 77 77 73 71 70
20
0 1
Figure 68
Data not available
2
40
60
80
Do not participate in National Hip Fracture Register
100 Percent
Percentage of patients, age 50 and older, who returned to their original residence within four months after hip fracture surgery, 2010. Source: National Hip Fracture Register
cy care at the time of surgery, physical activity at the ward and ongoing rehabilitation. The ability of a patient to return to their previous residence is normally a sign that they have recovered most of their pre-fracture functioning. While sporadic rehabilitation resources may initially limit a patient’s options, the results generally stabilise within four months. The indicator shows the percentage of non-pathological fracture patients age 50 and older who returned to their original residence within four months. The comparison is based on the 7 560 (out of 14 704) patients for whom the National Hip Fracture Register, RIKSHÖFT, contained four-month follow-up data in 2011. Patients who died before four months had passed are excluded. Eighty per cent of patients nationwide returned to their original residence within four months – the individual counties ranged from 70 to 88 per cent. Apart from acute interventions and subsequent rehabilitation, outcomes may have been affected by municipal policies when it comes to offering assisted living facilities or home help services.
69 Drugs to Prevent Post-fracture Osteoporosis Osteoporosis causes the bones to lose some of their strength. As a result, fractures can occur spontaneously or due to low-energy trauma, such as falls on the same level
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QUALITY AND EFFICIENCY IN SWEDISH HEALTH CARE 2012