Evidence map›Paper›PMID 34026941›Full record

ArticleThe archives of bone and joint surgery2021

Temporal Trends in Hip Fractures: How Has Time-to-Surgery Changed?

Suresh K Nayar, Majd Marrache, Jarred A Bressner, Micheal Raad, Babar Shafiq, Uma Srikumaran

Abstract read
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Article in The archives of bone and joint surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Suresh K NayarDepartment of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
Majd MarracheDepartment of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
Jarred A BressnerDepartment of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
Micheal RaadDepartment of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
Babar ShafiqDepartment of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.
Uma SrikumaranDepartment of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical fixation of hip fractures within 24-48 hours of hospital presentation is associated with decreased rates of postoperative morbidity and death, and recently, hospitals nationwide have implemented strategies to expedite surgery. Our aim was to describe how time-to-surgery and short-term complication rates have changed using the National Surgical Quality Improvement Program database from 2011 to 2017.

methodsWe identified more than 73,000 patients aged ≥65 years who underwent surgical fixation. Poisson regression adjusting for comorbidities, surgery type, type of anesthesia, patient sex, and patient age was performed to quantify annual changes in time-to-surgery. Annual changes in 30-day postoperative complications were analyzed using a generalized linear model with binomial distribution.

resultsA significant decrease in time-to-surgery was observed during the study period (mean 30 hours in 2011 versus 26 hours in 2017;

conclusionFrom 2011 to 2017, time-to-surgery for hip fracture decreased significantly, as did short-term postoperative rates of all-cause complications and death. Longer time-to-surgery was associated with increased number of complications.

Indexed as

ComplicationsHip fractureNational surgical quality improvement programSurgical fixation

Identifiers

PMID34026941
PMCPMC8121027

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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.