Is There a "Black Friday" for Geriatric Hip Fracture Surgery?
Chuwei Tian1,2,3,4,5, Huanyi Zhu1,2,3,4,5, Liu Shi1,2,3,4,5
1Department of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, NO.87 Ding Jia Qiao, Nanjing, 210009, PR China.
Orthopaedic Surgery
|April 13, 2023
Summary
Friday admission of elderly hip fracture patients did not increase mortality or adverse outcomes. However, Friday admission was a risk factor for delayed surgery in these patients.
Area of Science:
- Orthopaedic Surgery
- Geriatric Medicine
- Health Services Research
Background:
- Weekend admissions for hip fracture patients are associated with increased short-term mortality.
- Limited research exists on the impact of Friday admissions on geriatric hip fracture patients' outcomes.
Purpose of the Study:
- To investigate the effect of Friday admission on mortality and clinical outcomes in elderly hip fracture patients.
- To identify if Friday admission is a risk factor for delayed surgery.
Main Methods:
- Retrospective cohort study of 596 elderly hip fracture patients admitted between January 2018 and December 2021.
- Data collected included patient demographics, fracture type, comorbidities, admission time, and surgical details.
- Statistical analyses included Shapiro-Wilk test, Student's t test, Mann-Whitney U test, chi-square test, and univariate/multivariate analyses.
Main Results:
- No significant difference in mortality, length of stay, hospital costs, or postoperative complications between Friday admissions and other admission days.
- Patients admitted on Friday experienced delayed surgery.
- Multivariate analysis identified Friday admission as a risk factor for delayed surgery (p < 0.001).
Conclusions:
- Friday admission for elderly hip fracture patients is not associated with increased mortality or adverse outcomes.
- Friday admission is a significant risk factor for delayed surgical intervention in this population.
