Economic consequences of operative delay for hip fractures in a non-profit institution
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Published on: September 7, 2022
Shay Shabat1, Eyal Heller, Gideon Mann
1Department of Orthopedic Surgery, Sapir Medical Center, Kfar-Saba, Israel.
Abstract:
This retrospective study evaluated the economic consequences of delaying hip fracture surgery in 191 elderly patients. Data was collected regarding fracture type, surgery, timing of surgery, background diseases, postoperative hospital stay, and complications. In addition, calculation of the drugs administered to the patients, cost of the surgery, blood transfusion, physiotherapy, laboratory examinations, radiographs, and any financial data were evaluated. Spending more resources for performing hip surgery within 48 hours is more cost-effective than delaying surgery past the third day.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...