ArticleGeriatric orthopaedic surgery & rehabilitation2026
Frailty and Time-To-Theatre for Elderly Hip Fracture Patients at a Regional Hospital in Australia: A Retrospective Cohort Study.
Article in Geriatric orthopaedic surgery & rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Elderly hip fracture patients constitute a vulnerable population in whom operative management is frequently required. Comorbidities commonly exist and are often a factor leading to delays in entry to the operating room. Our regional hospital manages many hip fractures and we sought to understand the demographic and medical details of this group, and whether frailty was a factor in time-to-theatre and length of stay (LOS). Methods: We conducted a retrospective cohort study of all patients over 65 years with hip fractures managed operatively at our regional hospital in Australia from 2018-2022. Demographics, and details of medical, surgical and anaesthetic management were collected. Data to allow calculation of a frailty score (the 11-item modified frailty index (mFI-11)) were collected to allow determination of a 'frail' and 'non-frail' cohort. These cohorts were compared with respect to time-to-theatre and LOS. Results: Our cohort consisted of 453 subjects. Median age was 83.1 years (range 65-103). Most subjects (71.5%) were living in the community pre-fracture. 324 subjects were 'frail'. Average time-to-theatre was longer in the frail cohort (28.9 h (frail) vs 22.0 h (non-frail), Conclusions: This study confirmed a demographic profile for elderly hip fracture patients at our hospital similar to that noted in large databases. Although the mFI-11 may retain value in defining clinically complex hip fracture patients, we were unable to find evidence of its utility as an independent predictor of time-to-theatre or LOS.
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