ArticleZeitschrift fur Gerontologie und Geriatrie2015
[Factors influencing course of hospitalization in patients with hip fractures: Complications, length of stay and hospital mortality].
Article in Zeitschrift fur Gerontologie und Geriatrie, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- In-Hospital Mortality Among Elderly Patients Hospitalized for Femur Fracture with and Without Diabetes Mellitus: A Multicenter Case-Control Study.Journal of clinical medicine · 2024Article
- Rate of Complications after Hip Fractures Caused by Prolonged Time-to-Surgery Depends on the Patient's Individual Type of Fracture and Its Treatment.Journal of personalized medicine · 2023Article
- Analysis of Cardiac Events and the Subsequent Impact for Geriatric Patients Undergoing Hip Fracture Surgeries.Journal of clinical medicine · 2023Article
- COVID-19 Elderly Patients Treated for Proximal Femoral Fractures during the Second Wave of Pandemic in Italy and Iran: A Comparison between Two Countries.Medicina (Kaunas, Lithuania) · 2022Article
- [Influence of timing of surgery on complication rates after cemented hemiarthroplasty for treatment of medial femoral neck fractures].Der Unfallchirurg · 2021Article
- [Risk factors affecting mortality in patients with hip fractures at a regional trauma center].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Early Results in Non-Displaced Femoral Neck Fractures Using the Femoral Neck System.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Prediction of Early Postoperative Major Cardiac Events and In-Hospital Mortality in Elderly Hip Fracture Patients: The Role of Different Types of Preoperative Cardiac Abnormalities on Echocardiography Report.Clinical interventions in aging · 2020Article
- [Cost analysis as a tool for assessing the efficacy of intensive care units].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2018Article
- [Changes in the patient population with proximal femur fractures over the last decade : Incidence, age, comorbidities, and length of stay].Der Unfallchirurg · 2018Article
- [Elderly trauma patients with proximal femur fractures : Statistical evaluation of regular process data from a trauma center for the elderly].Der Unfallchirurg · 2017Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTime of surgery, age, sex, and co-morbidities influence the complication and mortality rate in patients with hip fractures. Patients with relevant co-morbidities, who were hospitalized at the weekend have a higher mortality rate. Complications prolong length of stay (LOS), which results in higher costs and shortage of bed capacity.
objectivesThe influence of various factors on hospitalization with emphasis on complications, LOS, and clinical mortality should be observed. MATERIALS AND
methodsRetrospectively, 242 patients with hip fractures (>64a) were observed. In addition to age and sex, time of hospitalization and surgery, intensive care therapy, hospital mortality, LOS, comorbidities, ASA, and complications were recorded. Times were assigned to the work week or the weekend or regular or on-call duty service.
results29.8 % were hospitalized at the weekend, 66.1% on on-call duty, 24.1% were operated on the weekend, 67.4% on on-call duty. 86.3% were operated <48 h after admission. The mortality rate was 8.3%. Longer time to surgery results in more frequent intensive care therapy, prolongs the LOS, and increases overall complications. Advanced age increases mortality and LOS. A higher value of the ASA classification leads to increased mortality; co-morbidities lead to more frequent intensive care therapy. Surgical complications prolong LOS of 10.8d (86.4%).
conclusionHospitalization is influenced by age, ASA and co-morbidities as well as by time to surgery and operation in day or late and nighttime service. Early surgery and prevention of surgical complications reduce LOS.
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