ArticleJournal of bone and mineral metabolism2024
Surgery on admission and following day reduces hip fracture complications: a Japanese DPC study.
Article in Journal of bone and mineral metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Impact of cognitive impairment on postoperative delirium and discharge disposition following knee arthroplasty: a Japanese nationwide propensity score-matched study.Archives of orthopaedic and trauma surgery · 2026Article
- Cerebrovascular disease and postoperative cognitive-related complications after knee arthroplasty: evidence from a nationwide cohort.Knee surgery & related research · 2026Article
- Response to the letter regarding "Low BMI and postoperative outcomes in elderly hip fracture patients: a Japanese nationwide database study".Journal of bone and mineral metabolism · 2026Article
- Perioperative outcomes of total and unicompartmental knee arthroplasty in patients with Type 2 diabetes mellitus: A propensity score-matched analysis.Journal of experimental orthopaedics · 2026Article
- Electronic Medical Record Data-Based Analysis of Discharge Pathways and Functional Recovery by Surgical Procedure Among Patients with Hip-Related Fractures in a Convalescent Rehabilitation Hospital: A Retrospective Cohort Study.Medicina (Kaunas, Lithuania) · 2026Article
- Femoral neck-parallel reconstruction enhances correlation between CT-based measurements and dual-energy X-ray absorptiometry for osteoporosis assessment.Skeletal radiology · 2026Article
- Response to the Letter regarding: Smoking increases the risk of early postoperative infection after elective total hip arthroplasty.International orthopaedics · 2026Article
- Tranexamic acid reduces transfusion requirements after pelvic osteotomy: a nationwide propensity score-matched analysis.Archives of orthopaedic and trauma surgery · 2026Article
- Impact of navigation assistance on perioperative outcomes in UKA: A nationwide propensity score-matched cohort study.Journal of experimental orthopaedics · 2026Article
- Low BMI and postoperative outcomes in elderly hip fracture patients: a Japanese nationwide database study.Journal of bone and mineral metabolism · 2026Article
- Computer-assisted total hip arthroplasty reduces early complications based on Japanese nationwide medical claims data.Archives of orthopaedic and trauma surgery · 2025Article
- Postoperative risk profile in elderly hip fracture patients undergoing chronic hemodialysis based on a nationwide database investigation.Scientific reports · 2025Article
- Three-year trends in early hip fracture surgery surrounding a national reimbursement policy in Japan.Journal of bone and mineral metabolism · 2025Article
- Response to the letter regarding "Increased complications of proximal femur fractures during the COVID-19 pandemic".Journal of bone and mineral metabolism · 2025Article
- Postoperative risks of type 2 diabetes in elderly hip fracture patients: a propensity score-matched study.Journal of bone and mineral metabolism · 2025Article
- High risk of postoperative complications in dialysis patients undergoing total hip arthroplasty: a database study of Japanese nationwide medical claims.Scientific reports · 2025Article
- Gait function progress in a patient with a femoral neck fracture who underwent rehabilitation during prolonged surgical waiting time: a case study.Journal of physical therapy science · 2025Article
- Factors preventing early surgery for hip fractures in elderly patients: The osteoporosis liaison service (OLS)-Kashiwa study.Archives of osteoporosis · 2025Article
- Thromboembolic and infectious complication risks in TKA and UKA: evidence from a Japanese nationwide cohort.Knee surgery & related research · 2025Article
- Increased early complication rates following total hip arthroplasty in rheumatoid arthritis patients based on a Japanese nationwide medical claims database study.Scientific reports · 2025Article
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7 authors.
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Abstract
introductionThe efficacy of early surgery in preventing complications among Japanese elderly patients with hip fractures requires further investigation. This study aims to use a comprehensive Japanese hip fracture case database to determine whether surgery within the day of admission and the following day reduces the incidence of complications and mortality during hospitalization in elderly hip fracture patients. MATERIALS AND
methodsWe retrospectively analyzed the Japanese National Administrative DPC (Diagnosis Procedure Combination) database from April 2016 to March 2022. Approximately 1100 DPC-affiliated hospitals consistently provided medical records with consent for research. The study investigated the association between postoperative pneumonia, deep vein thrombosis, pulmonary embolism, and mortality during hospitalization after propensity score matching, focusing on surgeries conducted on the day of admission and the following day.
resultsAfter one-to-one propensity score matching for age, gender, and comorbidity, we identified 146,441 pairs of patients who underwent surgery either within the day of admission and the following day or after the third day of admission. Surgery on the third day or later was independently associated with increased risks of pneumonia, deep vein thrombosis, pulmonary embolism, and mortality during hospitalization with risk ratios of 1.367 (95% CI 1.307-1.426), 1.328 (95% CI 1.169-1.508), 1.338 (95% CI 1.289-1.388), and 1.167 (95% CI 1.103-1.234), respectively.
conclusionA comprehensive study of elderly Japanese patients with hip fractures in the DPC database showed that surgery on admission and the following day is crucial for preventing complications like pneumonia, deep vein thrombosis, pulmonary embolism, and mortality during hospitalization.
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