ArticleThe Iowa orthopaedic journal2015
Expedited Operative Care of Hip Fractures Results in Significantly Lower Cost of Treatment.
Article in The Iowa orthopaedic journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Nutritional optimization for older adults undergoing hip fracture surgery: a randomized controlled pilot trial.OTA international : the open access journal of orthopaedic trauma · 2026Article
- The effect of time to surgery on clinical outcomes and hospitalization costs in older adults with femoral shaft fractures: A nationwide retrospective cohort study in Japan.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Trends in femoral neck fracture-related mortality in the United States: A nationwide retrospective study from 1999 to 2023.Medicine · 2026Article
- Geriatric hip fracture with proximal upper extremity fracture increases morbidity and mortality.OTA international : the open access journal of orthopaedic trauma · 2025Article
- What is the ideal orthopaedic call plan for a level one trauma center?Orthopedic reviews · 2025Article
- Article
- Patient Satisfaction Following Non-Operative Treatment of Geriatric Hip Fractures: A Case-Control Study.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Article
- Predictive Value of the C-Reactive Protein to Albumin Ratio in 30-Day Mortality after Hip Fracture in Elderly Population: A Retrospective Observational Cohort Study.Journal of clinical medicine · 2023Article
- Risk of Contralateral Hip Fracture Following Initial Hip Fracture Among Geriatric Fragility Fracture Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Cracking the Hip: Does Protocol Matter? A Retrospective Cohort Study Investigating the Effect of Protocol Implementation.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Economic burden and the effects of early versus delayed hospitalization on the treatment cost of patients with acute fragility hip fractures under the UPM-PGH Orthogeriatric Multidisciplinary Fracture Management Model and Fracture Liaison Service.Osteoporosis and sarcopenia · 2021Article
- Temporal Trends in Hip Fractures: How Has Time-to-Surgery Changed?The archives of bone and joint surgery · 2021Article
- Evaluation of proximal femoral geometry and its relationship with body mass index in Iranian people: a cross sectional study.International journal of burns and trauma · 2021Article
- Cephalomedullary nailing versus sliding hip screws for Intertrochanteric and basicervical hip fractures: a propensity-matched study of short-term outcomes in over 17,000 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- A three-year retrospective multi-center study on time to surgery and mortality for isolated geriatric hip fractures.Journal of clinical orthopaedics and trauma · 2020Article
- Improving Efficiency of Hip Fracture Care by Simplifying Wound Management and Eliminating Unnecessary Clinical Follow-Up.The Iowa orthopaedic journal · 2020Article
- The association between weight-bearing status and early complications in hip fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Transfer status in geriatric hip fracture surgery - An independent risk factor associated with 30-day mortality, re-operations and complications.Journal of clinical orthopaedics and trauma · 2019Article
- 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
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are an estimated 150,000 hip fractures per year in the United States, with estimated costs of care between $10.3 billion and $15.2 billion. With such high costs and an increasing burden of care, there has been interest in newer methods to increase efficiency of care. One such method is expedited fracture care, with earlier operative intervention. The purpose of this study was to determine if intervention within six hours of admission decreased costs with no change in the rate of major complications.
methodsA retrospective review of all patients age >65 undergoing operative intervention for a proximal femur fracture over a two year period were identified. Patients were divided into two groups: those undergoing operative intervention < six hours after admission (early) and those undergoing operative intervention > six hours after admission. Patient age, average length of stay, and complication rates were determined for the two groups.
resultsOur study identified 657 patients, 111 of which underwent early intervention with the remaining 546 undergoing late intervention. The average length of stay for the early intervention group was 4.11 days, compared to 5.68 days for die late intervention group (p=0.0005). There was a significant difference in average cost between the two groups. The average cost of the early intervention was $49,900, with the average cost of late intervention being $65,300 (p = 0.0086). There was no significant difference in incidence of major complications between the two groups.
conclusionPrograms emphasizing early intervention for hip fractures have the potential for large healthcare savings, with an average savings of $15,400. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
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26361446PMC4492154What OpenQuestion holds
Registered trials
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