ArticleGeriatric orthopaedic surgery & rehabilitation2020
Can We Accurately Predict Which Geriatric and Middle-Aged Hip Fracture Patients Will Experience a Delay to Surgery?
Article in Geriatric orthopaedic surgery & rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Secondary fragility fractures after hip fracture surgery in four thousand, four hundred and eighteen older adults: risk factors and internal validation of an interpretable machine-learning model.International orthopaedics · 2026Article
- Allogeneic blood transfusion after hip fracture: risk factors and associated outcomes.Bulletin of the Hospital for Joint Disease (2013) · 2025Article
- Using the Score for Trauma Triage for Geriatric and Middle-aged (STTGMA) to Cluster High-Risk Hip Fracture Patients for Hospice Discharge.Journal of clinical orthopaedics and trauma · 2025Article
- Ready for discharge? Factors associated with prolonged length of stay following geriatric hip fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Machine learning applications for the prediction of extended length of stay in geriatric hip fracture patients.World journal of orthopedics · 2023Article
- Transfusion timing relative to surgery does not impact outcomes in hip fracture patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Risk Factors Associated With Extended Length of Hospital Stay After Geriatric Hip Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- ASA Physical Status Classification Improves Predictive Ability of a Validated Trauma Risk Score.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Risk factors and associated outcomes of acute kidney injury in hip fracture patients.Journal of orthopaedicsArticle
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6 authors.
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Abstract
introductionThis study sought to investigate whether a validated trauma triage risk assessment tool can predict time to surgery and delay to surgery. MATERIALS AND
methodsPatients aged 55 and older who were admitted for operative repair or arthroplasty of a hip fracture over a 3-year period at a single academic institution were included. Risk quartiles were constructed using Score for Trauma Triage in the Geriatric and Middle-Aged (STTGMA) calculations. Negative binomial and multivariable logistic regression were used to evaluate time to surgery and delay to surgery, respectively. Pairwise comparisons were performed to evaluate 30-day mortality rates and demonstrate the effectiveness of the STTGMA tool in triaging mortality risk.
resultsSix hundred eleven patients met inclusion criteria with mean age 81.1 ± 10.5 years. Injuries occurred mainly secondary to low-energy mechanisms (97.9%). Median time to surgery (31.9 hours overall) was significantly associated with STTGMA stratification ( DISCUSSION: Patients in higher STTGMA quartiles encountered longer time to surgery, greater operative delays, and higher 30-day mortality.
conclusionScore for Trauma Triage in the Geriatric and Middle-Aged can quickly identify hip fracture patients at risk for a delay to surgery and may allow treatment teams to optimize surgical timing by proactively targeting these patients. LEVEL OF EVIDENCE: Prognostic Level III.
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