ArticleGeriatric orthopaedic surgery & rehabilitation2013
Surgical time of day does not affect outcome following hip fracture fixation.
Article in Geriatric orthopaedic surgery & rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Daytime versus after-hours surgery outcomes in hip fracture patients: a systematic review and meta-analysis.Aging clinical and experimental research · 2020Pooled it
- Predictors of poor functional outcomes and mortality in patients with hip fracture: a systematic review.BMC musculoskeletal disorders · 2019Pooled it
- Nighttime intramedullary nailing of femoral fractures is not associated with worse outcomes: a 13-year Level I trauma center cohort.Archives of orthopaedic and trauma surgery · 2026Observational
- In-hospital outcome after trochanteric femur fractures is related to preoperative delay but not to the time of day of the procedure: a nationwide retrospective cohort study of 7184 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Comparing mortality in the elderly after proximal femur fractures and coxarthrosis: the effect of individual health characteristics and day of surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Article
- Late surgical start time is associated with increased blood transfusion following gastric bypass surgery.PloS one · 2023Article
- Association Between Daytime vs Overnight Digit Replantation and Surgical Outcomes.JAMA network open · 2022Article
- Efficacy of two integrated geriatric care pathways for the treatment of hip fractures: a cross-cultural comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Incidence and risk factors associated with surgical site infection after surgically treated hip fractures in older adults: a retrospective cohort study.Aging clinical and experimental research · 2022Article
- The consequences of out-of-hours hip fracture surgery: insights from a retrospective nationwide study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- A model-based validation study of postoperative complications with considerations on operative timing.Annals of translational medicine · 2021Article
- A Solution to After-Hours Fatigue and Surgical Backlog.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Observational
- Article
- Prognostic factors of in-hospital complications after hip fracture surgery: a scoping review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019Article
- 'After-hours' non-elective spine surgery is associated with increased perioperative adverse events in a quaternary center.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019Article
- Reasons for delaying surgery following hip fractures and its impact on one year mortality.International orthopaedics · 2019Article
- Does the time of day in orthopedic trauma surgery affect mortality and complication rates?Patient safety in surgery · 2019Article
- Determinants of mortality after hip fracture surgery in Sweden: a registry-based retrospective cohort study.Scientific reports · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to the need for medical optimization and congested operating room schedules, surgical repair is often performed at night. Studies have shown that work done at night increases complications. The primary aim of our study is to compare the rates of complications and 30-day mortality between 2 surgical times of day, daytime group (DTG, 07:00-15:59) and nighttime group (NTG, 16:00-06:59).
methodsRetrospective chart review from 2005 through 2010.
settingLevel 1 Trauma Center.
participants1443 patients with hip fracture, age ≥50 years with isolated injury and surgical treatment of the fracture. MAIN OUTCOMES AND MEASURES: Thirty-day mortality and complications: myocardial infarction, cardiac event, stroke, central nervous system event, pneumonia, urinary tract infection, postoperative wound infection, and bleeding requiring transfusion of 3 or more red blood cell units.
resultsA total of 859 patients met the inclusion criteria; 668 patients in the DTG and 191 patients in the NTG. The 30-day mortality was 7.8%. The complication rate was 28%. No difference was found in 30-day mortality or complication rate based on the time of day the surgery was performed (P = 1.0 and P = .92, respectively). This remained unchanged when controlling for health status and surgical complexity. Age (odds ratio = 1.03/year), Charlson Comorbidity Index (CCI; odds ratio = 1.21), and American Society of Anesthesiologists (ASA; odds ratio = 1.85) score were predictive of adverse outcomes.
conclusionSurgical time of day did not affect 30-day mortality or total number of complications. Age, ASA score, and CCI were associated with adverse outcomes.
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