Evidence map›Paper›PMID 29881208›Full record

ArticleJournal of orthopaedics2018

What is the incidence of inadvertent hypothermia in elderly hip fracture patients and is this associated with increased readmissions and mortality?

M Williams, M Ng, M Ashworth

Open access · bronzeAbstract read
In one paragraph

Article in Journal of orthopaedics, 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
1.5field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Too Cool? Hip Fracture Care and Maintaining Body Temperature.Geriatric orthopaedic surgery & rehabilitation · 2020
    Article
  8. Article
  9. 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 at 1 institution in 1 country.

M WilliamsDepartment of Trauma and Orthopaedic Surgery, Torbay Hospital, Torquay, Devon, TQ2 7AA, United Kingdom.
M NgDepartment of Trauma and Orthopaedic Surgery, Torbay Hospital, Torquay, Devon, TQ2 7AA, United Kingdom.
M AshworthDepartment of Trauma and Orthopaedic Surgery, Torbay Hospital, Torquay, Devon, TQ2 7AA, United Kingdom.
Torbay Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally the incidence of fragility hip fractures is rising with increasingly elderly and co-morbid patients. These injuries are associated with a high morbidity and mortality.

aimsThis clinical study's primary outcome is to establish the rate of operative inadvertent hypothermia (<36 °C) in elderly hip fracture patients (>65 years old). We also aimed to identify risk factors and outcomes in patients with inadvertent hypothermia. PATIENTS AND

methodsA single centre, retrospective study of 929 hip fracture patients managed operatively between June 2015 and July 2017 was conducted. Patients' demographic, anaesthetic and surgical variables were analysed together with outcomes for length of stay (LoS), 30-day re-admissions, and 30-day mortality.

resultsOverall rates of inadvertent hypothermia in elderly hip fracture patients undergoing surgery were 10%, with increasing age (p = 0.006) and pre-operative hypothermia (p < 0.0001) as risk factors. Patient's hypothermic pre-operatively compared with normothermic patients were 1.9 times more likely to be <36 °C on leaving theatre. There was a trend towards a higher 30-day mortality (χ

conclusionRates of inadvertent hypothermia are high in operatively managed hip fracture patients and are significantly associated with a higher 30-day readmission rate with a trend towards higher 30-day mortality.

Indexed as

Hip fractureHypothermiaInadvertent hypothermiaMortalityNeck of femur fractureReadmissions

Identifiers

PMID29881208
PMCPMC5990295
OpenAlexW2801616607

What OpenQuestion holds

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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.