ArticleWorld journal of emergency medicine2020
Admission delay is associated with worse surgical outcomes for elderly hip fracture patients: A retrospective observational study.
Article in World journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- The 24-Hour Window: How Time to Admission Reshapes the Impact of Surgical Delay on Mortality in Elderly Hip Fracture.Journal of clinical medicine · 2026Article
- Predicting Risk of Postoperative Pneumonia by a Nomogram in Elderly Patients After Hip Fracture Surgery.Journal of clinical medicine research · 2026Article
- Threshold Effect of Time to Admission on Long-Term Mortality in Geriatric Hip Fractures: A 24-H Critical Window Identified.Journal of clinical medicine · 2026Article
- Associations between patient characteristics and delayed acute care discharge post-hip fracture surgery: a cohort study using linked health administrative data in Ontario, Canada.BMC musculoskeletal disorders · 2025Article
- Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data.Geriatrics & gerontology international · 2025Article
- Effect of Weekend Admission on Hip Fracture Mortality.Ochsner journal · 2025Article
- Benchmarking institutional geriatric hip fracture management: a prelude to a care quality improvement initiative.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Delayed surgery and health related quality of life in patients with proximal femoral fracture.Scientific reports · 2023Observational
- Association between weather and hip fracture in adults: a nationwide study in China 198 cities.Archives of osteoporosis · 2023Article
- Construction and validation of a risk prediction model for delayed discharge in elderly patients with hip fracture.BMC musculoskeletal disorders · 2023Article
- Risk factors for postoperative medical morbidity and 3-month mortality in elderly patients with hip fracture following hip arthroplasty during COVID-19 pandemic.Journal of orthopaedic surgery and research · 2023Article
- Effect of integrated management bundle on 1-year overall survival outcomes and perioperative outcomes in super elderly patients aged 90 and over with hip fracture: non-concurrent cohort study.BMC musculoskeletal disorders · 2022Article
- Access to surgical care in Ethiopia: a cross-sectional retrospective data review.BMC health services research · 2022Article
- Systemic immune-inflammation index independently predicts poor survival of older adults with hip fracture: a prospective cohort study.BMC geriatrics · 2021Article
- The Relationship between Pre-Admission Waiting Time and the Surgical Outcomes after Hip Fracture Operation in the Elderly.The journal of nutrition, health & aging · 2021Observational
- A Nomogram for Prediction of Postoperative Pneumonia Risk in Elderly Hip Fracture Patients.Risk management and healthcare policy · 2020Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe influence of surgical delay on mortality and morbidity has been studied extensively among elderly hip fracture patients. However, most studies only focus on the timing of surgery when patients have already been hospitalized, without considering pre-admission waiting time. Therefore, the present study aims to explore the influence of admission delay on surgical outcomes.
methodsIn this retrospective study, we recorded admission timing and interval from admission to surgery for included patient. Other covariates were also collected to control confounding. The primary outcome was 1-year mortality. The secondary outcomes were 1-month mortality, 3-month mortality, ICU admission and postoperative pneumonia. We mainly used multivariate logistic regression to determine the effect of admission timing on postoperative outcomes. An additional survival analysis was also performed to assess the impact of admission delay on survival status in the first year after operation.
resultsThe proportion of patients hospitalized on day 0, day 1, day 2 after injury was 25.4%, 54.7% and 66.3%, respectively. And 12.6% patients visited hospital one week later after injury. Mean time from admission to surgery was 5.2 days (standard deviation 2.8 days). Hospitalization at one week after injury was a risk factor for 1-year mortality (OR 1.762, 95% CI 1.026-3.379, P=0.041).
conclusionAdmission delay of more than one week is significantly associated with higher 1-year mortality. As a supplement to the current guidelines which emphasizes early surgery after admission, we also advocate early admission once patients get injured.
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