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Timing of surgery for hip fractures in the elderly: A retrospective cohort study.
- Source :
-
Injury . Oct2018, Vol. 49 Issue 10, p1848-1854. 7p. - Publication Year :
- 2018
-
Abstract
- <bold>Introduction: </bold>Although early surgery for elderly patients with hip fracture is recommended in existing clinical guidelines, the results of previous studies are inconsistent. The aim of this study was to compare postoperative outcomes of early and delayed surgery for elderly patients with hip fracture.<bold>Materials and Methods: </bold>In this retrospective study using a national inpatient database in Japan, patients aged 65 years or older who underwent surgery for hip fracture between July 2010 and March 2014 were included. Early surgery was defined as surgery on the day or the next day of admission. Assessed outcomes included death within 30 days and hospital-acquired pneumonia.<bold>Results: </bold>In this cohort, 47,073 (22.5%) patients underwent surgery for hip fractures within two days of admission (early surgery group) and 161,805 (77.5%) underwent surgery for hip fractures thereafter (delayed surgery group). Early surgery was significantly associated with lower odds for hospital-acquired pneumonia (odds ratio, 0.42; 95% confidence interval, 0.25-0.69) and pressure ulcers (odds ratio, 0.56, 95%CI: 0.33-0.96, pā=ā0.035), but was not associated with 30-day mortality (odds ratio, 0.96; 95% confidence interval, 0.49-1.86) or pulmonary embolism (odds ratio, 1.62, 95%CI: 0.58-4.52, pā=ā0.357).<bold>Conclusions: </bold>These results support current guidelines, which recommend early surgery for elderly hip fractures patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIP surgery
*FRAIL elderly
*TREATMENT of fractures
*RETROSPECTIVE studies
*POSTOPERATIVE period
*PRESSURE ulcers
*FRACTURE fixation
*BONE fractures
*HIP joint injuries
*HOSPITAL care
*LENGTH of stay in hospitals
*LONGITUDINAL method
*MEDICAL care
*MEDICAL protocols
*HEALTH outcome assessment
*PATIENTS
*SURGICAL complications
*ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 00201383
- Volume :
- 49
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Injury
- Publication Type :
- Academic Journal
- Accession number :
- 131817106
- Full Text :
- https://doi.org/10.1016/j.injury.2018.07.026