Isolated hip fracture in the elderly and time to surgery: is there an outcome difference?

BackgroundEarly operative intervention for hip fractures in the elderly is advised to reduce mortality and morbidity. Postoperative complications impose a significant burden on patient outcomes and cost of medical care. Our aim was to determine the relationship between time to surgery and postoperat...

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Published in:Trauma surgery & acute care open 2018-11, Vol.3 (1), p.e000212-e000212
Main Authors: Elkbuli, Adel, Eily, Alyssa, Polcz, Valerie, Boneva, Dessy, Spano II, Paul J, McKenney, Mark, Hai, Shaikh
Format: Article
Language:English
Subjects:
Cost control
Demographics
Disease prevention
Fractures
Gender
Hospitals
Intensive care
Length of stay
Mortality
Older people
Patients
Population
Surgery
Thromboembolism
Trauma
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Summary:BackgroundEarly operative intervention for hip fractures in the elderly is advised to reduce mortality and morbidity. Postoperative complications impose a significant burden on patient outcomes and cost of medical care. Our aim was to determine the relationship between time to surgery and postoperative complications/mortality in patients with hip fracture.MethodsThis is a retrospective review of data collected from our institution’s trauma registry for patients ≥65 years old with isolated hip fracture and subsequent surgery from 2015 to 2017. Patients were stratified into two groups based on time to surgery after admission: group 1: 48 hours. Demographic variables included age, gender, race, and Injury Severity Score (ISS). The outcome variables included intensive care unit length of stay (ICU-LOS), deep venous thrombosis (DVT), pulmonary embolism (PE) rate , mortality, and 30-day readmission rates. Analysis of variance was used for analysis, with significance defined as a p value 48 hours group compared with the
ISSN:2397-5776
2397-5776
DOI:10.1136/tsaco-2018-000212