ArticleBMJ open2017
Mortality and readmission following hip fracture surgery: a retrospective study comparing conventional and fast-track care.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
A New Clinical Pathway for Patients With Fractured Neck of Femur - The Orthopedics Operate, the Geriatricians Manage the Medical Work-up
A Randomized Controlled Trial to Evaluate the Impact of Integrated Preoperative Fascia Iliaca Compartment Block (FICB) for Fast-track Surgery in Elderly Hip Fracture
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- What is the impact of a fast-track pathway on length of stay for adult patients with a hip fracture? A systematic review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Evaluation of Systemwide Improvement Programs to Optimize Time to Surgery for Patients With Hip Fractures: A Systematic Review.JAMA network open · 2022Pooled it
- The efficacy and safety of fast track surgery (FTS) in patients after hip fracture surgery: a meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Experiences and challenges of in-hospital rehabilitation exercise among older adults with hip fracture arthroplasty in a fast-track program: a qualitative study.Frontiers in aging · 2026Article
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- Characteristics and outcomes for hip fracture patients in an integrated orthogeriatric care model: a descriptive study of four discharge pathways with one-year follow-up.BMC musculoskeletal disorders · 2025Article
- Length of hospital stay and readmissions after major lower extremity amputation: a Danish nationwide registry study.Acta orthopaedica · 2024Observational
- Effects of an Emergency-Based FASE Strategy on Treating Geriatric Patients with Femoral Neck Fracture: A Retrospective Propensity Score-Matched Study [Letter].Clinical interventions in aging · 2024Article
- The Analysis of Multiple Outcomes between General and Regional Anesthesia in Hip Fracture Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of clinical medicine · 2023Review
- From volume to value: Improving peri-operative elective pathways through a roadmap from fast-track orthopedic surgery.Health services management research · 2023Review
- Development of a conceptual framework to scale up co-managed care for older patients with hip fracture in China: a qualitative study.BMC health services research · 2023Article
- Enhanced Recovery after Surgery Rehabilitation Protocol in the Perioperative Period of Orthopedics: A Systematic Review.Journal of personalized medicine · 2023Review
- Hip fracture management in the emergency department and its impact on hospital outcomes: a retrospective cross-sectional analysis.European geriatric medicine · 2022Article
- Feasibility, acceptability, and preliminary effects of PATH FOR timely transfer of geriatric HIP fracture patients from hospital to rehabilitation to home (PATH4HIP): a protocol for a mixed method study.Pilot and feasibility studies · 2022Article
- Development and initial validation of MedHipPro-Q: a questionnaire assessing medication management of hip fracture patients in different care settings.BMC health services research · 2022Article
- Enhanced recovery after surgery for hip fractures: a systematic review and meta-analysis.Perioperative medicine (London, England) · 2021Review
- Waiting time for hip fracture surgery: hospital variation, causes, and effects on postoperative mortality : data on 37,708 operations reported to the Norwegian Hip fracture Register from 2014 to 2018.Bone & joint open · 2021Article
- Sex differences in incidence rate, and temporal changes in surgical management and adverse events after hip fracture surgery in Denmark 1997-2017: a register-based study of 153,058 hip fracture patients.Acta orthopaedica · 2021Article
- How deadly is a fracture distal to the hip in the elderly? An observational cohort study of 11,799 femoral fractures in the Swedish Fracture Register.Acta orthopaedica · 2021Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the efficacies of two pathways-conventional and fast-track care-in patients with hip fracture.
designRetrospective single-centre study.
settingUniversity hospital in middle Norway.
participants1820 patients aged ≥65 years with hip fracture (intracapsular, intertrochanteric or subtrochanteric).
interventions788 patients were treated according to conventional care from April 2008 to September 2011, and 1032 patients were treated according to fast-track care from October 2011 to December 2013. PRIMARY AND SECONDARY OUTCOME: Primary: mortality and readmission to hospital, within 365 days follow-up. Secondary: length of stay.
resultsWe found no statistically significant differences in mortality and readmission rate between patients in the fast-track and conventional care models within 365 days after the initial hospital admission. The conventional care group had a higher, no statistical significant mortality HR of 1.10 (95% CI 0.91 to 1.31, p=0.326) without and 1.16 (95% CI 0.96 to 1.40, p=0.118) with covariate adjustment. Regarding the readmission, the conventional care group sub-HR was 1.02 (95% CI 0.88 to 1.18, p=0.822) without and 0.97 (95% CI 0.83 to 1.12, p=0.644) with adjusting for covariates. Length of stay and time to surgery was statistically significant shorter for patients who received fast-track care, a mean difference of 3.4 days and 6 hours, respectively. There was no statistically significant difference in sex, type of fracture, age or Charlson Comorbidity Index score at baseline between patients in the two pathways.
conclusionsThere was insufficient evidence to show an impact of fast-track care on mortality and readmission. Length of stay and time to surgery were decreased. TRIAL REGISTRATION NUMBER: NCT00667914; results.
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