Impact of delayed intervention on clinical outcomes following traumatic hip fracture in the elderly: A national analysis.
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 34566352.
- Also identified by DOI 10.1016/j.jor.2021.09.006 and PMC identifier 8449020.
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Abstract
The present study sought to evaluate clinical outcomes of delayed intervention following hip fractures. Adults (≥60 years) who underwent operative intervention for hip fracture following traumatic fall were identified using the 2008-2018 National Inpatient Sample. Patients were classified as <i>Delayed</i> if repair was >48 h after admission and otherwise considered <i>Early</i>. Of an estimated 1,942,905 patients, 148,441 (7.6%) were <i>Delayed</i>. <i>Delayed</i> more commonly suffered neck fractures, underwent hip arthroplasty and were managed at low-volume hospitals. After adjustment, delayed operation was associated with greater likelihood of mortality (adjusted odds ratio (AOR): 1.28, 95% CI: 1.17-1.40), studied complications, hospitalization duration and costs.
Anatomy
- hip