ArticleDer Unfallchirurg2010
[Medial hip neck fracture: influence of pre-operative delay on the quality of outcome. Results of data from the external in-hospital quality assurance within the framework of secondary data analysis].
Article in Der Unfallchirurg, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 36 citations in OpenAlex.
- [Pertrochanteric fractures. What impact do surgical timing and implant choice have on the outcome?].Der Unfallchirurg · 2013Trial
- [How does the preoperative waiting time affect hospital mortality and complication rates in geriatric patients with medial femoral neck fractures?]Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Early Stabilization Does Not Increase Complication Rates in Acetabular Fractures of the Elderly: A Retrospective Analysis from the German Pelvis Registry.Journal of clinical medicine · 2023Article
- Functional outcomes and perceived quality of life following fixation of femoral neck fractures in adults from 18 to 69 years using dynamic hip screw (DHS) and an additional anti-rotation screw- a retrospective analysis of 53 patients after a mean follow-up time of 4 years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Incidence and Risk Factors for Surgical Site Infection after Femoral Neck Fracture Surgery: An Observational Cohort Study of 2218 Patients.BioMed research international · 2022Observational
- [72/f-Pain in hips and groin after falling : Preparation for the medical specialist examination: part 56].Der Unfallchirurg · 2021Article
- [Influence of timing of surgery on complication rates after cemented hemiarthroplasty for treatment of medial femoral neck fractures].Der Unfallchirurg · 2021Article
- Management of pertrochanteric fractures in patients over 90 years: In-hospital mortality rate, complications and associated risk factors.BMC musculoskeletal disorders · 2021Article
- Early Results in Non-Displaced Femoral Neck Fractures Using the Femoral Neck System.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Hip Fractures: Therapy, Timing, and Complication Spectrum.Orthopaedic surgery · 2019Article
- [Management of pre-existing anticoagulation for timely treatment of proximal femoral fractures].Der Unfallchirurg · 2019Review
- Risk factors for early infection following hemiarthroplasty in elderly patients with a femoral neck fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- [Elderly trauma patients with proximal femur fractures : Statistical evaluation of regular process data from a trauma center for the elderly].Der Unfallchirurg · 2017Article
- Hemiprosthesis for Femoral Neck Fractures in the Elderly: A Retrospective Study of 319 Patients.Archives of trauma research · 2016Article
- [One-year outcomes for proximal femoral fractures: Posthospital analysis of mortality and care levels based on health insurance data].Der Unfallchirurg · 2015Article
- [Dislocated femoral neck fractures in geriatric patients. One-year follow-up].Zeitschrift fur Gerontologie und Geriatrie · 2014Article
- [Fractures of the knee joint in the elderly: osteosynthesis versus joint replacement].Der Orthopade · 2014Review
- Mortality after proximal femur fracture with a delay of surgery of more than 48 h.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014Article
- [Medial femoral neck fractures: possible reasons for delayed surgery. Part 2: Results of data from external inpatient quality assurance within the framework of secondary data evaluation].Der Unfallchirurg · 2014Article
- [The influence of timing of surgery on mortality and early complications in femoral neck fractures, by surgical procedure: an analysis of 22,566 cases from the German External Quality Assurance Program].Der Unfallchirurg · 2013Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
problemAccording to international and national studies and clinical guidelines, patients with medial hip neck fracture should receive surgery as soon as medically reasonable after hospitalization, preferably within 48 h. Analysis of the German quality registry data of 2006 showed, however, that in 13 out of the 16 federal states less than 85% of patients were operated on within 48. Delayed surgery was found especially during the weekend.
objectiveThe objective of the study was to examine whether German data confirm that a short preoperative waiting time after hip fracture improves the outcome. The study was commissioned by the Federal Joint Committee (G-BA) and was jointly performed by the German Society for Accident Surgery (DGU) and the National Institute for Quality in Healthcare (BQS). DATA AND
methodsThe analysis is based on the data of the nationwide quality registry of the years 2004-2006. Out of a total of 129,075 patients with a medial hip neck fracture 22,171 received operative treatment later than 48 h after hospital admission. Comparable study groups were constructed with the help of a propensity score (1-to-1 matching). Study and control groups only differed in terms of delay of surgery. The comparison concerning the outcomes was made with the Fisher exact test (bilateral).
resultsIn the group of patients with a delay of surgery longer than 48 h significantly higher rates of surgical complications (OR 1.10), general complications (OR 1.09) and pressure ulcers (1.27) were observed (all p<0.001). The in-hospital mortality showed no significant difference (OR 0.96, p=0.302).
conclusionsPatients with medial hip neck fracture should receive operative treatment without delay, if no medical contra-indications for immediate surgery. In particular appropriate organizational measures should be taken to ensure an early surgical treatment even during weekends.
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