ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2013
Mortality and quality of life after proximal femur fracture-effect of time until surgery and reasons for delay.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of timing of surgery in elderly hip fracture patients: a systematic review and meta-analysis.Scientific reports · 2018Pooled it
- Patient and emergency department factors influencing surgery timing in patients with hip fracture.Scientific reports · 2025Observational
- Deep vein thrombosis in patients with patellar fractures: Assessing incidence rates and identifying risk factors.PloS one · 2025Article
- One-year mortality risk in older individuals with femoral intertrochanteric fracture: a tertiary center in China.BMC geriatrics · 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
- [Risk factors affecting mortality in patients with hip fractures at a regional trauma center].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Prevalence and risk factors of preoperative deep venous thrombosis in closed patella fracture: a prospective cohort study.Journal of orthopaedic surgery and research · 2021Article
- Post-discharge complications in postoperative patients with hip fracture.Journal of clinical orthopaedics and trauma · 2021Review
- Patient-related quality of life after pelvic ring fractures in elderly.International orthopaedics · 2019Article
- [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
- [Length of hospital stay for patients with proximal femoral fractures : Influencing factors].Der Unfallchirurg · 2016Article
- Efficacy of early surgery and causes of surgical delay in patients with hip fracture.Journal of orthopaedics · 2015Article
- [Factors influencing course of hospitalization in patients with hip fractures: Complications, length of stay and hospital mortality].Zeitschrift fur Gerontologie und Geriatrie · 2015Article
- [Early complication rate of fractures close to the hip joint. Dependence on treatment in on-call services and comorbidities].Der Unfallchirurg · 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
- [Proximal femoral fractures in the German external quality assurance module 17/1: reasons for delay in surgery].Der Unfallchirurg · 2013Article
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4 authors.
Funding
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Abstract
introductionStudies yield conflicting results from the effect of early surgery on mortality. Some observed a positive, others a negative and some did not find any effect of early operation. In this study, mortality and quality of life in relation to time until surgery as well as reasons for delay were observed prospectively. MATERIAL AND
methodsData of 138 patients (>65 years) with proximal femoral fractures and consecutive surgery were observed. Demographic data as well as mortality rate, survival time and Barthel Index up to 1 year in relation to different time frames were observed. Reasons for operative delay were divided into being administrative or patient-related.
resultsThree-month mortality was 10.1% and 1-years was 23.9%. Neither time from injury until hospital admission nor from injury until surgery or from hospital admission until surgery up to 48 hours had any effect on mortality and survival time. The age of patients dying in the follow-up period was significantly higher than the age of patients surviving (86.8 vs. 84.4 years). No influence of any delay in time until surgery on the Barthel Index was observed.
conclusionIn proximal femoral fractures, a delay of surgery up to 48 hours did not influence mortality and Barthel Index negatively, nor did other associating factors. Only the patients age at the time of injury influences mortality rate, survival time, and Barthel Index significantly. The older the patient at the time of injury; the higher the mortality rate, the shorter the survival time and the lower the Barthel Index.
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