Observational studyThe bone & joint journal2022
Influence of time to surgery on clinical outcomes in elderly hip fracture patients : an assessment of surgical postponement due to non-medical reasons.
Observational study in The bone & joint journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 33 citations in OpenAlex.
- The effect of skin traction on pain relief in patients with isolated intertrochanteric fractures, a randomized clinical trial.BMC musculoskeletal disorders · 2023Trial
- Comorbidity burden and fracture pattern as predictors of early postoperative medical complications following bipolar hemiarthroplasty for displaced femoral neck fractures: a retrospective cohort study.Archives of orthopaedic and trauma surgery · 2026Article
- Clinical effects of surgical delay in older patients with intertrochanteric fractures: analysis from the National Inpatient Sample Database.BMC geriatrics · 2026Article
- Incidence rates and treatment of the transcervical fracture of the neck of femur in Italy: is total hip arthroplasty an increasingly preferred approach? A population study on trends between 2001 and 2023 based on 1,120,770 hospital discharge records.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- In-hospital outcome after trochanteric femur fractures is related to preoperative delay but not to the time of day of the procedure: a nationwide retrospective cohort study of 7184 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Correlation of Preoperative Inflammation/Immunity Markers With Postoperative Urinary Tract Infections in Elderly Hip Fracture Patients.Orthopaedic surgery · 2025Article
- Using Risk Factors and Preoperative Inflammatory Markers to Predict 3-Year Mortality in Patients with Unstable Intertrochanteric Femur Fractures.Hip & pelvis · 2025Article
- The Akcaalan Mortality Score: A Novel Mortality Score to Predict 3-Year Mortality for Elderly Hip Fractures.Journal of clinical medicine · 2025Article
- Related factors of postoperative half-year care utilization for health status and recovery in older adults with hip fracture: A retrospective study of Osaka National Health Insurance Data.Geriatrics & gerontology international · 2025Article
- Comparative Efficacy in Pertrochanteric Fractures: A Randomized Controlled Trial of the Shortest Versus Various Short-Length Cephalomedullary Nails.Advances in orthopedics · 2025Article
- Preoperative Consultations and Their Effect on Surgical Delays and Mortality in Hip Fracture Surgery.Orthopaedic surgery · 2025Article
- Delay to surgery beyond 12 hours is associated with increased hip fracture mortality.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 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
- Ultra-early versus early surgery for hip fracture.The Cochrane database of systematic reviews · 2024Article
- Predictors of long-term mortality in older patients with hip fractures managed by hemiarthroplasty: a 10-year study based on a population registry in Saxony, Germany.Patient safety in surgery · 2024Article
- Patients risk for mortality at 90 days after proximal femur fracture - a retrospective study in a tertiary care hospital.BMC geriatrics · 2024Article
- Clinical, laboratory, and hospital factors associated with preoperative complications in Peruvian older adults with hip fracture.PloS one · 2024Observational
- Prioritizing patients for hip fracture surgery: the role of frailty and cardiac risk.Frontiers in surgery · 2024Article
- The relationship between admission hyperglycaemia and urinary tract infections in geriatric patients with hip fractures.International orthopaedics · 2023Observational
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsFactors associated with high mortality rates in geriatric hip fracture patients are frequently unmodifiable. Time to surgery, however, might be a modifiable factor of interest to optimize clinical outcomes after hip fracture surgery. This study aims to determine the influence of postponement of surgery due to non-medical reasons on clinical outcomes in acute hip fracture surgery.
methodsThis observational cohort study enrolled consecutively admitted patients with a proximal femoral fracture, for which surgery was performed between 1 January 2018 and 11 January 2021 in two level II trauma teaching hospitals. Patients with medical indications to postpone surgery were excluded. A total of 1,803 patients were included, of whom 1,428 had surgery < 24 hours and 375 had surgery ≥ 24 hours after admission.
resultsProlonged total length of stay was found when surgery was performed ≥ 24 hours (median 6 days (interquartile range (IQR) 4 to 9) vs 7 days (IQR 5 to 10); p = 0.001) after admission. No differences in postoperative length of hospital stay nor in 30-day mortality rates were found. In subgroup analysis for time frames of 12 hours each, pressure sores and urinary tract infections were diagnosed more frequently when time to surgery increased.
conclusionLonger time to surgery due to non-medical reasons was associated with a higher incidence of postoperative pressure sores and urinary tract infections when time to surgery was more than 48 hours after admission. No association was found between time to surgery and 30-day mortality rates or postoperative length of hospital stay.Cite this article:
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