ArticleBone & joint open2021
Waiting time for hip fracture surgery: hospital variation, causes, and effects on postoperative mortality : data on 37,708 operations reported to the Norwegian Hip fracture Register from 2014 to 2018.
Article in Bone & joint open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Conservative versus operative treatment of FFP II fractures in a geriatric cohort: a prospective randomized pilot trial.Scientific reports · 2023Trial
- Waiting time and mortality after hip fracture: findings from a large single-center cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Preoperative stay under 48 h after admission for proximal femur fractures is linked to fewer complications and better outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Timing of surgery in patients with hip fracture: a systematic review with meta-analysis and trial sequential analysis (2017-2024).EFORT open reviews · 2026Article
- Article
- The waiting time of admission to operation was associated with preoperative deep vein thrombosis in geriatric hip fracture.Scientific reports · 2025Article
- Predictors of 1-year mortality in a clinical cohort of hip fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Preoperative Analgesia Efficacy of Liposomal Bupivacaine Following Pericapsular Nerve Group (PENG) Block in Patients with Hip Fracture: A Randomized Controlled Observer-Blinded Study.Pain and therapy · 2025Article
- Association between additional weekend rehabilitation and functional outcomes in patients with hip fractures: does age affect the effectiveness of weekend rehabilitation?European geriatric medicine · 2024Article
- Trends in Hospital Stay, Complication Rate, and Mortality in Hip Fracture Patients: A Two-Decade Comparison at a National Tertiary Referral Center.Journal of clinical medicine · 2024Article
- Basicervical femoral neck fractures: an observational study derived from the Swedish Fracture Register.Acta orthopaedica · 2024Observational
- Construction and validation of a predictive model for the risk of prolonged preoperative waiting time in patients with intertrochanteric fractures.Frontiers in medicine · 2024Article
- Impact of preoperative echocardiographic delay on timing of hip fracture surgery in elderly patients.SAGE open medicine · 2024Article
- Case report: Successful experience using continuous infusion of meropenem in a geriatric patient with hip fracture complicated by sepsis.Frontiers in medicine · 2023Article
- Influence of time to surgery on clinical outcomes in elderly hip fracture patients : an assessment of surgical postponement due to non-medical reasons.The bone & joint journal · 2022Observational
- Article
- Modifiable and non-modifiable risk factors in hip fracture mortality in Norway, 2014 to 2018 : a linked multiregistry study.The bone & joint journal · 2022Article
- Association between General Anesthesia and the Occurrence of Cerebrovascular Accidents in Hip Fracture Patients.Journal of healthcare engineering · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThis study aimed to describe preoperative waiting times for surgery in hip fracture patients in Norway, and analyze factors affecting waiting time and potential negative consequences of prolonged waiting time.
methodsOverall, 37,708 hip fractures in the Norwegian Hip Fracture Register from January 2014 to December 2018 were linked with data in the Norwegian Patient Registry. Hospitals treating hip fractures were characterized according to their hip fracture care. Waiting time (hours from admission to start of surgery), surgery within regular working hours, and surgery on the day of or on the day after admission, i.e. 'expedited surgery' were estimated.
resultsMean waiting time was 22.6 hours (SD 20.7); 36,652 patients (97.2%) waited less than three days (< 72 hours), and 27,527 of the patients (73%) were operated within regular working hours (08:00 to 16:00). Expedited surgery was given to 31,675 of patients (84%), and of these, 19,985 (53%) were treated during regular working hours. Patients classified as American Society of Anesthesiologists (ASA) classes 4 and 5 were more likely to have surgery within regular working hours (odds ratio (OR) 1.59; p < 0.001), and less likely to receive expedited surgery than ASA 1 patients (OR 0.29; p < 0.001). Low-volume hospitals treated a larger proportion of patients during regular working hours than high volume hospitals (OR 1.26; p < 0.001). High-volume hospitals had less expedited surgery and significantly longer waiting times than low and intermediate-low volume hospitals. Higher ASA classes and Charlson Comorbidity Index increased waiting time. Patients not receiving expedited surgery had higher 30-day and one-year mortality rates (OR 1.19; p < 0.001) and OR 1.13; p < 0.001), respectively.
conclusionThere is inequality in waiting time for hip fracture treatment in Norway. Variations in waiting time from admission to hip fracture surgery depended on both patient and hospital factors. Not receiving expedited surgery was associated with increased 30-day and one-year mortality rates. Cite this article:
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