Evidence map›Paper›PMID 28795198›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2018

Complications after hip fracture surgery: are they preventable?

E R Flikweert, K W Wendt, R L Diercks, G J Izaks, D Landsheer, M Stevens, I H F Reininga

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 3 pooled it
10.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 3 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. La Tunisie medicale · 2023
    Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

E R FlikweertDepartment of Surgery-Traumatology, University Medical Center Groningen, UMCG, University of Groningen, P.O. Box 30001, 9700 RB, Groningen, The Netherlands. e.r.flikweert@umcg.nl.ORCID http://orcid.org/0000-0001-8226-6109
K W WendtDepartment of Surgery-Traumatology, University Medical Center Groningen, UMCG, University of Groningen, P.O. Box 30001, 9700 RB, Groningen, The Netherlands.
R L DiercksDepartment of Orthopedic Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
G J IzaksUniversity Center for Geriatric Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
D LandsheerDepartment of Surgery-Traumatology, University Medical Center Groningen, UMCG, University of Groningen, P.O. Box 30001, 9700 RB, Groningen, The Netherlands.
M StevensDepartment of Orthopedic Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
I H F ReiningaDepartment of Surgery-Traumatology, University Medical Center Groningen, UMCG, University of Groningen, P.O. Box 30001, 9700 RB, Groningen, The Netherlands.
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgery for hip fractures is frequently followed by complications that hinder the rehabilitation of patients. The aim of this study was to describe the incidence rate and type of complications, including mortality, after hip fracture surgery, and to identify the risk factors of these complications that may be amenable to prevention.

methodsProspective cohort study of all consecutive patients aged ≥60 treated for a hip fracture at University Medical Center Groningen between July 2009 and June 2013. All patients were treated in a comprehensive multidisciplinary care pathway. Logistic regression analyses were used to investigate which variables were significant risk factors for the occurrence of complications. Additional analyses were conducted to investigate whether the independent variables were significant risk factors for several specific complications and mortality.

resultsThe study population consisted of 479 patients with a mean age of 78.4 (SD 9.5) years; 33% were men. The overall complication rate was 75%. Delirium was the complication seen most frequently (19%); the incidence of surgical complications was 9%. Most risk factors for complications were not preventable (high comorbidity rate, high age and dependent living situation). However, general anesthesia (OR 1.51; 95% CI 0.97-2.35) and delay in surgery (OR 3.16; 95% CI 1.43-6.97) may be risk factors that can potentially be prevented. Overall, the mortality risk was not higher in patients with a complication, but delirium and pneumonia were risk factors for mortality.

conclusionThe overall complication rate after hip fracture surgery was high. Only few complications were potentially preventable.

Indexed as

AgedAged, 80 and overComorbidityFemaleFrail ElderlyHip FracturesHumansIncidenceMaleMiddle AgedPostoperative ComplicationsProspective StudiesRisk FactorsComplicationsFrail elderlyHip fracture

Identifiers

PMID28795198
PMCPMC6096618
OpenAlexW2744499299

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.