ArticleInternational orthopaedics2019
Reasons for delaying surgery following hip fractures and its impact on one year mortality.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- [Proximal femoral nails antirotation and dynamic hip screws for fixation of unstable intertrochanteric fractures of femur: A meta-analysis].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2019Pooled it
- Impact of Early Surgery on Clinical Outcomes of Super-Aged Patients With Hip Fractures: A Retrospective Propensity Score-Matched Study With 2-Year Follow-Up.Orthopaedic surgery · 2026Article
- Early surgical fixation of proximal femur fractures under active direct oral anticoagulation (DOAC) therapy does not increase the postoperative blood loss. Results from a prospective cohort study with a matched-pair analysis.Archives of orthopaedic and trauma surgery · 2025Article
- Key Considerations for Frail Patients Undergoing Hip Fracture Surgery.Clinics and practice · 2024Review
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- A retrospective chart analysis with 5-year follow-up of early care for geriatric hip fracture patients: why we should continue talking about hip fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
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- Article
- Delayed surgery and health related quality of life in patients with proximal femoral fracture.Scientific reports · 2023Observational
- Change in 1-year mortality after hip fracture surgery over the last decade in a European population.Archives of orthopaedic and trauma surgery · 2023Article
- Mortality-Related Risk Factors in Geriatric Patients with Hip Fracture.Annals of geriatric medicine and research · 2023Article
- Should the early surgery threshold be moved to 72 h in over-85 patients with hip fracture? A single-center retrospective evaluation on 941 patients.Archives of orthopaedic and trauma surgery · 2023Article
- Development and validation of a novel nomogram of 1-year mortality in the elderly with hip fracture: a study of the MIMIC-III database.BMJ open · 2023Article
- Is There a "Black Friday" for Geriatric Hip Fracture Surgery?Orthopaedic surgery · 2023Article
- Article
- Simultaneous ipsilateral knee dislocation and hip fracture: A case report.Trauma case reports · 2023Article
- Risk factors for prolonged preoperative waiting time of intertrochanteric fracture patients undergoing operative treatment.BMC musculoskeletal disorders · 2022Article
- Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures.Clinical medicine (London, England) · 2022Article
- Percutaneous reduction with double screwdrivers versus limited open reduction in the treatment of irreducible extracapsular hip fractures.BMC musculoskeletal disorders · 2022Article
- A New Random Forest Algorithm-Based Prediction Model of Post-operative Mortality in Geriatric Patients With Hip Fractures.Frontiers in medicine · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purposes of this study were to identify the reasons for delayed surgery following hip fractures and analyze the impact of these reasons on 1-year mortality.
methodsA prospective cohort study of 1234 patients with mean age of 83.1 (range 65-92, SD 8.0) who underwent hip fracture surgery compared three subgroups: (1) surgery within two days from admission (609 patients); (2) delayed surgery for medical reasons (286); and (3) delayed surgery for organizational causes (339). Medical reason was defined as the need of medical optimization of the patient prior to surgery. Pre-operative assessment was performed by the American Society of Anesthesiologists (ASA) score, Charlson Comorbidity Index (CCI), Hodkinson mental status, Katz index for activities of daily living, and Short-Form (SF-12) questionnaire. Univariate analyses were used (chi-square and Fisher exact or Mantel-Haenszel tests for categorical data, and variance analysis, Student t test, or Mann-Whitney U test for continuous data). Logistic regression models were used for influence of variables on complications and one year mortality.
resultsThere were no significant differences in complications or one year mortality rates between patients with surgery within two days and those with delayed surgery for medical reasons. However, the patients with delayed surgery for organizational causes had significant higher rates of both complications and one year mortality compared to the other two groups (p = 0.001).
conclusionsThis study suggests that waiting time for hip fracture surgery more than two days was not associated with higher complication or mortality rate if waiting was to stabilize patients with active comorbidities at admission, compared to stable patients at admission with early surgery. Although early surgery within two days from admission is desirable for stable patients at admission, in patients with complex comorbidities, the surgery should be performed once they are optimized. However, the patients with delayed surgery for organizational reasons had a significant higher rate of post-operative complications and one year mortality compared to the other two groups.
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