ArticleDer Unfallchirurg2015
[Early complication rate of fractures close to the hip joint. Dependence on treatment in on-call services and comorbidities].
Article in Der Unfallchirurg, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Risk factors for surgical site infection following treatment of proximal femoral fracture: a matched-pair analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- [Influence of timing of surgery on complication rates after cemented hemiarthroplasty for treatment of medial femoral neck fractures].Der Unfallchirurg · 2021Article
- Hip Fractures: Therapy, Timing, and Complication Spectrum.Orthopaedic surgery · 2019Article
- [Changes in the patient population with proximal femur fractures over the last decade : Incidence, age, comorbidities, and length of stay].Der Unfallchirurg · 2018Article
- [Analysis of 2000 surgically treated proximal femoral fractures : Multiple variables influence mortality].Der Unfallchirurg · 2018Article
- Infection Versus Hematoma Following Surgical Treatment of Proximal Femoral Fractures in Geriatric Patients.Geriatric orthopaedic surgery & rehabilitation · 2018Article
- Mortality and readmission following hip fracture surgery: a retrospective study comparing conventional and fast-track care.BMJ open · 2017Article
- [Reasons for proximal femoral fracture surgery delays : Analysis of the structured dialog in Rheinland-Pfalz].Der Unfallchirurg · 2016Article
- [Length of hospital stay for patients with proximal femoral fractures : Influencing factors].Der Unfallchirurg · 2016Article
- [Factors influencing course of hospitalization in patients with hip fractures: Complications, length of stay and hospital mortality].Zeitschrift fur Gerontologie und Geriatrie · 2015Article
- 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
- The PFNA® Augmented in Revision Surgery of Proximal Femur Fractures.The open orthopaedics journal · 2014Article
- The reliability of classifications of proximal femoral fractures with 3-dimensional computed tomography: the new concept of comprehensive classification.Advances in orthopedics · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGuidelines advocate early surgery for proximal femoral fractures so that operations are frequently performed in on-call duty times. Multimorbid patients also suffer more frequently from postoperative complications. Does on-call duty or night shift services correlate with higher postoperative complication rates and what influence do comorbidities have? PATIENTS AND
methodsIn 300 patients (> 65 years) postoperative surgical and non-surgical complications were documented and correlated with comorbidities, on-call duty and night shift service times.
resultsPostoperative complications were observed in 10.7 % of surgical and 62 % of non-surgical cases. Surgery in on-call duty and night shift times did not increase the postoperative complication rate. Comorbidities, age and ASA classification correlated with postoperative complications which significantly prolonged hospital stay.
conclusionSurgery of proximal femoral fractures in on-call duty and night shift times is justified because postoperative complications are not increased. Comorbidities and higher age correlated with postoperative complications. Postoperative complications should be avoided because they result in prolonged hospital stay.
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