A three-year retrospective multi-center study on time to surgery and mortality for isolated geriatric hip fractures.

ABSTRACT:

Background

There are multiple reports on the effect of time to surgery for geriatric hip fractures; it remains unclear if earlier intervention is associated with improved mortality, hospital length of stay (HLOS), or cost.

Methods

This was a multi-center retrospective cohort study. Patients (≥65y.) admitted (1/14-1/16) to six level 1 trauma centers for isolated hip fractures were included. Patients were dichotomized into early (≤24 h of admission) or delayed surgery (>24 h). The primary outcome was mortality using the CDC National Death Index. Secondary outcomes included HLOS, complications, and hospital cost.

Results

There were 1346 patients, 467 (35%) delayed and 879 (65%) early. The early group had more females (70% vs. 61%, p < 0.001) than the delayed group. The d

SUBMITTER: Tanner Ii A 

PROVIDER: S-EPMC6977169 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature