ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2021
Analysis of the effects of a delay of surgery in patients with hip fractures: outcome and causes.
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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Risk Factors and Causes of Delayed Hip Fracture Surgery in Elderly Patients: Findings from a Hip Fracture Fast-Track Surgery Program.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Reasons for Surgical Delay in HIP Fracture: What Can We Do From the Emergency Room?Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Surgical consent by healthcare proxies does not delay surgery in older adult patients with hip fracture.OTA international : the open access journal of orthopaedic trauma · 2025Article
- [Surgical treatment variation of displaced femoral neck fractures in certified centers for geriatric trauma DGU® and arthroplasty centers in Germany].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Is the Timing of Surgery Associated With the Risk of Mortality Among Older Adults Undergoing Operative Hip Fracture Repair?Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Proximal Femur Fractures: Evaluating the Necessity of On-Call Surgery.Journal of clinical medicine · 2024Article
- 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
- Is the Timing of Surgery a Sufficient Predictive Factor for Outcomes in Patients with Proximal Femur Fractures? A Systematic Review.Journal of personalized medicine · 2024Review
- "Multidisciplinary fast-track" care can significantly reduce risk of mortality among hip fracture patients at least 80 years old: a single-center retrospective study.BMC geriatrics · 2024Article
- Introducing a pharmacist-led transmural care program to reduce drug-related problems in orthogeriatric patients: a prospective interventional study.BMC geriatrics · 2024Article
- Time to surgery after proximal femur fracture in geriatric patients depends on hospital size and provided level of care: analysis of the Registry for Geriatric Trauma (ATR-DGU).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Early Surgical Care of Anticoagulated Hip Fracture Patients Is Feasible-A Retrospective Chart Review of Hip Fracture Patients Treated with Hip Arthroplasty within 24 Hours.Journal of clinical medicine · 2022Article
- Predictors of long-term mortality after intertrochanteric fractures surgery: a 3-year retrospective study.BMC musculoskeletal disorders · 2022Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
This study analyzed characteristics of hip fracture patients who did not undergo surgery within 24 hours after hospitalization, as recommended by the Belgian quality standards. Reasons for delay were analyzed. Delay in surgery for hip fracture was related to the medical condition of the patients.
introductionTo compare patients with optimal timing to patients with a delay in hip surgery, with respect to outcome (complications (postoperative) and mortality) and reasons for delay.
methodsA retrospective analysis of medical records compared patients operated on within 24h (Group A) to patients operated on more than 24h after admission (Group B). A follow-up period of 5 years after release or up to the time of data collection was used. Reasons for delay in relation with mortality were analyzed descriptively. Descriptive statistics were used for patient demographics and complications. Relationships causing a delayed surgery and mortality were analyzed using binary logistic regression. Additionally, a survival analysis was provided for overall mortality.
resultsRespectively, 536 and 304 patients were included in Group A and B. The most prominent reason for delaying surgery was the patient not being medically fit (20.7%). Surgical delay was associated with more cardiovascular (p = 0.010), more pulmonary (p < 0.001), and less hematologic complications (p=0.037). Thirty-day mortality was higher with increasing age (p < 0.001), with hematologic (p < 0.001) or endocrine-metabolic complications (p = 0.001), and lower when no complications occurred (p = 0.004). Mortality at the end of data collection was higher for patients with delayed surgery (OR = 2.634, p < 0.001), an increased age (p = 0.006), male gender (p < 0.001), institutionalized patients (p = 0.009), pulmonary complication (p = 0.002), and having no endocrine-metabolic complications (p = 0.003). Survival analysis showed better survival for patients operated on within 24h (p < 0.001).
conclusionsDelayed surgery for patients with hip fractures was associated with bad additional medical conditions. Survival was higher for patients operated on within 24h of admission.
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