Evidence map›Paper›PMID 31037362›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2019

Prognostic factors of in-hospital complications after hip fracture surgery: a scoping review.

K J Sheehan, E M Guerrero, D Tainter, B Dial, R Milton-Cole, J A Blair, J Alexander, P Swamy, L Kuramoto, P Guy and 2 more

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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

  1. Pooled it
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  6. [Orthogeriatric ward rounds].Zeitschrift fur Gerontologie und Geriatrie · 2025
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  18. Transfusion timing relative to surgery does not impact outcomes in hip fracture patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
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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

12 authors.

K J SheehanDepartment of Population Health Sciences, School of Population Health and Environmental Sciences, King's College London, London, UK. katie.sheehan@kcl.ac.uk.ORCID http://orcid.org/0000-0002-5325-7454
E M GuerreroDepartment of Orthopaedic Surgery, Duke University Medical Centre, Durham, NC, USA.
D TainterDepartment of Orthopaedic Surgery, Duke University Medical Centre, Durham, NC, USA.
B DialDepartment of Orthopaedic Surgery, Duke University Medical Centre, Durham, NC, USA.
R Milton-ColeDepartment of Population Health Sciences, School of Population Health and Environmental Sciences, King's College London, London, UK.
J A BlairDepartment of Orthopaedics and Rehabilitation, William Beaumont Army Medical Center, El Paso, TX, USA.
J AlexanderDepartment of Rehabilitation Sciences, Kingston & St George's University of London, London, UK.
P SwamyDepartment of Population Health Sciences, School of Population Health and Environmental Sciences, King's College London, London, UK.
L KuramotoVancouver Coastal Health Research Institute, University of British Columbia, Vancouver, Canada.
P GuyCentre for Hip Health and Mobility, University of British Columbia, Vancouver, Canada.
J P BettgerDepartment of Orthopaedic Surgery, Duke University Medical Centre, Durham, NC, USA.
B SobolevSchool of Population and Public Health, University of British Columbia, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo examine prognostic factors that influence complications after hip fracture surgery. To summarize proposed underlying mechanisms for their influence.

methodsWe reported according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Scoping Review extension. We searched MEDLINE, Embase, CINAHL, AgeLine, Cochrane Library, and reference lists of retrieved studies for studies of prognostic factor/s of postoperative in-hospital medical complication/s among patients 50 years and older treated surgically for non-pathological closed hip fracture, published in English on January 2008-January 2018. We excluded studies of surgery type or in-hospital medications. Screening was duplicated by two independent reviewers. One reviewer completed the extraction with accuracy checks by the second reviewer. We summarized the extent, nature, and proposed underlying mechanisms for the prognostic factors of complications narratively and in a dependency graph.

resultsWe identified 44 prognostic factors of in-hospital complications after hip fracture surgery from 56 studies. Of these, we identified 7 patient factors-dehydration, anemia, hypotension, heart rate variability, pressure risk, nutrition, and indwelling catheter use; and 7 process factors-time to surgery, anesthetic type, transfusion strategy, orthopedic versus geriatric/co-managed care, multidisciplinary care pathway, and potentially modifiable during index hospitalization. We identified underlying mechanisms for 15 of 44 factors. The reported association between 12 prognostic factors and complications was inconsistent across studies.

conclusionsMost factors were reported by one study with no proposed underlying mechanism for their influence. Where reported by more than one study, there was inconsistency in reported associations and the conceptualization of complications differed, limiting comparison across studies. It is therefore not possible to be certain whether intervening on these factors would reduce the rate of complications after hip fracture surgery.

Indexed as

Fracture FixationHip FracturesHospitalizationHumansPostoperative ComplicationsPrognosisRisk FactorsComplicationsHip fractureOrthogeriatricsPrognosisSurgery

Identifiers

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.