Association Between Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery.

ABSTRACT:

Importance

Although wait times for hip fracture surgery have been linked to mortality and are being used as quality-of-care indicators worldwide, controversy exists about the duration of the wait that leads to complications.

Objective

To use population-based wait-time data to identify the optimal time window in which to conduct hip fracture surgery before the risk of complications increases.

Design, setting, and participants

Population-based, retrospective cohort study of adults undergoing hip fracture surgery between April 1, 2009, and March 31, 2014, at 72 hospitals in Ontario, Canada. Risk-adjusted restricted cubic splines modeled the probability of each complication according to wait time. The inflection point (in hours) when complications began to increase was us

SUBMITTER: Pincus D 

PROVIDER: S-EPMC5820694 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature