Time to Hip Fracture Surgery and Mortality
Kacy Clinkenbeard1, Kristyn Bossle1, Tyler Pape1
1From the Department of Physician Assistant Studies, College of Health Sciences, University of Kentucky, Lexington.
Southern Medical Journal
|March 2, 2023
Summary
Delayed surgery for hip fractures in older adults is linked to more complications and higher morbidity, especially in males. Prompt surgical intervention is crucial for better patient outcomes.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Geriatric Medicine
Background:
- Hip fractures are a growing concern in older adults, associated with high mortality and complication rates.
- Early surgical intervention for hip fractures is suggested to improve outcomes and reduce mortality.
- Existing literature supports timely surgery, but specific outcomes in diverse patient groups require further investigation.
Purpose of the Study:
- To investigate the association between time to surgery and 30-day mortality in adult patients (65+) with acute hip fractures.
- To explore the impact of surgical delay on postoperative complications and overall outcomes.
- To identify potential differences in outcomes based on patient demographics, such as sex.
Main Methods:
- Retrospective study design analyzing data from a level I trauma center.
- Inclusion of adult patients (65 years and older) who underwent hip fracture surgery between 2014 and 2019.
- Secondary data analysis of medical records to assess time to surgery, complications, and mortality.
Main Results:
- A statistically significant relationship was found between delayed surgery and increased postoperative complications.
- Increased morbidity was observed in patients experiencing a delay in surgical intervention.
- Male patients showed a higher incidence of morbidity associated with delayed hip fracture surgery.
Conclusions:
- This study affirms that delayed hip fracture surgery is associated with adverse outcomes, including increased complications and morbidity.
- Findings suggest that timely surgical intervention is critical for improving patient outcomes in acute hip fractures.
- Further research is recommended to specifically examine the impact of surgical timing on outcomes in male patients.
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