ArticleCanadian journal of surgery. Journal canadien de chirurgie
Association of length of hospital stay with delay to surgical fixation of hip fracture.
Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The Surgical Timing Gap in Elderly Hip Fracture Management: A Regional Systems Analysis.Cureus · 2026Article
- 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
- Does early surgery within 48 hours improve clinical outcomes in elderly hip fractures? A matched cohort study of 1776 hip fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Age-stratified analysis of delayed fixation outcomes of femoral neck fracture among adults: A retrospective study at a tertiary care trauma center.The Journal of international medical research · 2025Article
- Three-dimensional printed anatomical models as an educational tool for orthopaedic surgical trainees - A single institution experience.Journal of clinical orthopaedics and trauma · 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
- Admission Hemoglobin Associated with Increased Mortality in Hip Fracture Surgical Patients: An Observational Study.Biomedicines · 2024Article
- Health Outcomes of Older Adults after a Hospitalization for a Hip Fracture.Canadian geriatrics journal : CGJ · 2024Article
- The Impact of Hospital Transfers on Surgical Delay and Associated Postoperative Outcomes for Hip Fracture Patients in Scotland: A Cohort Study.Journal of clinical medicine · 2024Article
- Article
- Does Time to Surgery for Distal Radius Fractures Impact Clinical and Radiographic Outcomes? A Systematic Literature Review.Current orthopaedic practiceArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious research has shown increases in length of stay (LOS), morbidity and mortality when the standard for surgical fixation of hip fracture of 48 hours is not met. However, few investigators have analyzed LOS as a primary outcome, and most used time of diagnosis as opposed to time of fracture as the reference point. We examined the effect of time to surgical fixation of hip fracture, measured from time of fracture, on length of hospital stay; the secondary outcome was average 1-year mortality.
methodsWe conducted a retrospective cohort study of patients presenting to 1 of 2 tertiary care centres in St. John's, Newfoundland and Labrador, Canada, with a hip fracture from Jan. 1, 2014, to Dec. 31, 2018. We analyzed 3 groups based on timing of surgical fixation after fracture: less than 24 hours (group 1), 24-48 hours (group 2) and more than 48 hours (group 3). We assessed statistical significance using 1-way analysis of variance.
resultsOf the 692 patients included in the study, 212 (30.6%) were in group 1, 360 (52.0%) in group 2 and 120 (17.3%) in group 3. A delay to surgical fixation exceeding 48 hours was associated with a significantly longer LOS, by an average of 2.9 and 2.8 days compared to groups 1 and 2, respectively (
conclusionSurgical fixation beyond 48 hours after hip fracture resulted in significantly increased LOS and 1-year mortality. Further research should be conducted to evaluate reasons for delays to surgery and the effects of these delays on time to surgical fixation as measured from time of fracture.
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