Evidence map›Paper›PMID 28988382›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018

Does time of surgery and complication have any correlation in the management of hip fracture in elderly and can early surgery affect the outcome?

S K Rai, Rohit Varma, S S Wani

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Hip fracture surgery in resource-limited environments: a systematic literature review.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  4. [Research progress of rapid surgery for hip fracture in elderly patients].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Editorial: Orthogeriatrics and Hip Fractures.The journal of nutrition, health & aging · 2018
    Article
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

3 authors.

S K RaiDepartment of Orthopaedics, Indian Naval Hospital Ship Asvini, Colaba, Mumbai, 400005, India. skrai47@yahoo.com.ORCID http://orcid.org/0000-0002-0239-4352
Rohit VarmaDepartment of Orthopaedics, Indian Naval Hospital Ship Asvini, Colaba, Mumbai, 400005, India.
S S WaniDepartment of Orthopaedics, Indian Naval Hospital Ship Asvini, Colaba, Mumbai, 400005, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHip fractures in the elderly are usually associated with a high rate of morbidity and mortality and affect quality of life. On review of published data, the current guidelines in the literature indicate that early surgery should be performed within 24 h of injury because it is associated with better functional outcomes and lower rates of perioperative complications and mortality. The aim of this study was to evaluate whether any correlation exists between early surgical intervention and functional outcomes.

methodsIn a retrospective study, we analyzed the records between January 2010 and December 2016 and 550 elderly patients between the age group of 65-95 were included.

resultsThe results of early surgery were promising, 451 (82%) patients did not have any complication, 42 (7.6%) has developed bed sore, 23 (4%) developed a hospital-acquired infection, 13 (2.3%) developed wound infection, 08 (1.4%) developed DVT, 04 (0.7%) developed implant failure, and 09 (01%) died of some or other complications.

conclusionStill, there is conflicting evidence in the published data that early surgery would improve mortality and function. However, early surgery definitively improves outcome and reduces morbidity, bed sores, infection, and the length of hospital stay could be improved by reducing the waiting time of hip surgery following fracture. We concluded that it is beneficial to the elderly patients to receive surgical treatment as early as possible.

Indexed as

Arthroplasty, Replacement, HipFracture Fixation, InternalTime-to-TreatmentAgedAged, 80 and overCross InfectionFemaleHip FracturesHip ProsthesisHumansMalePostoperative PainPressure UlcerProsthesis FailureRetrospective StudiesSurgical Wound InfectionEarly hip surgeryFragility hip fracturesMortalityOsteoporotic boneTime of surgery

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Registered trials

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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.