Evidence map›Paper›PMID 37727296›Full record

ArticleHip & pelvis2023

The Impact of Surgical Timing of Hip Fracture on Mortality: Do the Cause and Duration of Delay Matter?

Jaiben George, Vijay Sharma, Kamran Farooque, Samarth Mittal, Vivek Trikha, Rajesh Malhotra

Abstract read
In one paragraph

Article in Hip & pelvis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. 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 · 2026
    Article
  2. Article
  3. Balancing risks in febrile hip fracture patients: is surgical delay more dangerous than infection?Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Ultra-early versus early surgery for hip fracture.The Cochrane database of systematic reviews · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jaiben GeorgeDepartment of Orthopedic Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID https://orcid.org/0000-0002-6685-029X
Vijay SharmaDepartment of Orthopedic Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID https://orcid.org/0000-0002-9784-8491
Kamran FarooqueDepartment of Orthopedic Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID https://orcid.org/0000-0002-8541-4303
Samarth MittalDepartment of Orthopedic Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID https://orcid.org/0000-0002-2780-1129
Vivek TrikhaDepartment of Orthopedic Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID https://orcid.org/0000-0002-4872-8813
Rajesh MalhotraDepartment of Orthopedic Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID https://orcid.org/0000-0001-5971-003X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Delay in performance of hip fracture surgery can be caused by medical and/or administrative reasons. Although early surgery is recommended, it is unclear what constitutes a delayed surgery and whether the impact of delayed surgery can differ depending on the reason for the delay. Materials and Methods: A total of 269 consecutive hip fracture patients over 50 years of age who underwent surgery were prospectively enrolled. They were divided into two groups: early and delayed (time from reaching the hospital to surgery less than or more than 48 hours). Patients were also categorized as fit or unfit based on anesthetic fitness. One-year mortality was recorded, and regression analyses were performed to assess the impact of delay on mortality. Results: A total of 153 patients (56.9%) had delayed surgery with a mean time to surgery of 87±70 hours. A total of 115 patients (42.8%) were considered medically fit to undergo surgery. No difference in one-year mortality was observed between patients with early surgery and those with delayed surgery ( Conclusion: The effect of delay on mortality was predominantly observed in patients who were not considered medically fit, suggesting that surgical delays might have a greater impact on patients with medical reasons for delay.

Indexed as

DelayHip fracturesMortalityPreoperative careTime factors

Identifiers

PMID37727296
PMCPMC10505843

What OpenQuestion holds

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Registered trials

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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.