ArticleDer Unfallchirurg2016
[Length of hospital stay for patients with proximal femoral fractures : Influencing factors].
Article in Der Unfallchirurg, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Impact of timing of surgery in elderly hip fracture patients: a systematic review and meta-analysis.Scientific reports · 2018Pooled it
- Outcome after operative treatment of proximal humeral fractures in elderly patients.Zeitschrift fur Gerontologie und Geriatrie · 2016Trial
- [How does the preoperative waiting time affect hospital mortality and complication rates in geriatric patients with medial femoral neck fractures?]Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Associations between patient characteristics and delayed acute care discharge post-hip fracture surgery: a cohort study using linked health administrative data in Ontario, Canada.BMC musculoskeletal disorders · 2025Article
- Variation in care and outcome for fragile hip fracture patients: a European multicentre study benchmarking fulfilment of established quality indicators.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- 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
- Construction and validation of a risk prediction model for delayed discharge in elderly patients with hip fracture.BMC musculoskeletal disorders · 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
- Four-month outcome after proximal femur fractures and influence of early geriatric rehabilitation: data from the German Centres of Geriatric Trauma DGU.Archives of osteoporosis · 2021Article
- [120-day follow-up after proximal femoral fractures-first results from the Geriatric Trauma Registry DGU®].Der Unfallchirurg · 2020Article
- [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
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn departments of orthopedic and trauma surgery patients with proximal femoral fractures constitute the largest proportion of trauma patients. The length of stay (LOS) has economic consequences and prolonged LOS leads to a shortage in bed capacity.
objectivesIn this study treatment and patient-related factors that influence the LOS of patients with proximal femoral fractures were investigated. MATERIAL AND
methodsTreatment and patient-related data of 242 patients (age >64 years) were recorded retrospectively and included residential aspects, legal guardianship, time of admission and surgery, hospital mortality, LOS, diagnosis, comorbidities, medication, surgical treatment, general and surgical complications, intensive care therapy and American Society of Anesthesiologists (ASA) classification.
resultsOf the patients, one fifth came from a nursing home and were under supervised care or a healthcare proxy at the time of admission. Two thirds were admitted to hospital and operated on during on-call service periods. One half of the patients did not return to their previous domestic environment and were usually admitted to a nursing home. Patients who came from or were admitted to nursing homes, who were under healthcare supervision as well as patients who rapidly underwent surgery had a shorter LOS. Hospitalization and surgery during on-call service periods did not extend the LOS and showed a tendency towards reduction. Older age correlated with a longer LOS and surgical complications doubled the LOS. DISCUSSION: Surgical treatment during on-call service periods, short preoperative waiting times and avoidance of surgical complications shortened LOS and thus had an impact on costs and bed capacity.
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