Early Mortality After Hip Fracture

Moran, C.G.; Wenn, R.; Sikand, Manoj; Taylor, Andrew M.

doi:10.2106/00004623-200503000-00001

Cited by 101 publications

(8 citation statements)

References 7 publications

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“…Moran ve ark. 'nın (9) 2660 hastayı içeren prospektif çalışmarında, 4 güne kadar beklemenin mortalite oranları üzerine etkisinin olmadığını fakat 4 günden sonra ameliyat edilen olgularda 90. gün ve 1. yıl mortalite oranlarının ciddi anlamda yükseldiğini bildirmiştir. Orosz ve ark.…”

Section: Discussionunclassified

“…Çoğu çalışmacı ameliyat öncesi bekleme süresinin uzamasının nedeni olarak en çok ameliyat odası yetersizliğinden söz etmiştir (9,(11)(12)(13)15,16) . Kliniğimizde de kalça kırıklarının uzun süre beklemesinin en büyük nedeni ameliyat odası yetersizliğidir.…”

Section: Discussionunclassified

“…Ameliyat öncesi bekleme süresinin klinik sonuçlara etkisi ile ilgili birbiriyle çelişkili birçok çalışma mevcuttur (3)(4)(5)(6)(7)(8)(9)(10)(11) . Erken yapılacak bir kalça kırığı cerrahisinin fonksiyonel sonuçları iyileştireceğini, mortalite oranını, hastanede kalış süresini ve ameliyat sonrası komplikasyon oranlarını azaltacağını belirten çalış-malar vardır (3)(4)(5)(6)(7) .…”

Section: Introductionunclassified

“…Erken yapılacak bir kalça kırığı cerrahisinin fonksiyonel sonuçları iyileştireceğini, mortalite oranını, hastanede kalış süresini ve ameliyat sonrası komplikasyon oranlarını azaltacağını belirten çalış-malar vardır (3)(4)(5)(6)(7) . Bununla beraber, ameliyat öncesi beklemenin mortalite oranlarını artırmadığını, hatta aceleci bir cerrahinin ameliyat sırasındaki riskleri artırdığına dair yayınlar da vardır (6,8,9) .…”

Section: Introductionunclassified

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Relationship Between Mortality and Timing of Surgery in Elderly Intertrochanteric Hip Fractures

Adanır¹,

Albay²,

Beytemür³

2017

Okmeydani Medical Journal

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Section: Discussionunclassified

Section: Introductionunclassified

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Relationship Between Mortality and Timing of Surgery in Elderly Intertrochanteric Hip Fractures

Adanır¹,

Albay²,

Beytemür³

2017

Okmeydani Medical Journal

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“…Previous studies have debated the most beneficial time period in which hip surgery should be performed to further reduce mortality, with a suggestion that operating the patient within 48 h of injury may reduce the mortality, as well as the complications and hospital stay of the patient [12–19]. Early surgery minimizes the length of time a patient is confined to bed rest, thereby reducing the risk of associated complications, such as pressure sores, deep vein thrombosis and urinary tract infections.…”

Section: Introductionmentioning

confidence: 99%

The effect of ‘Out of hours surgery Service’ in Israel on hip fracture fixation outcomes: a retrospective analysis

Keren

Sailofsky

Keshet

et al. 2017

Isr J Health Policy Res

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Background‘Out of Hours Surgery Service’ (OHSS) was implemented in Israel, amongst other reasons, in order to reduce the time interval between hospital admission and surgery and consequently improve outcomes. The OHSS is currently operated in the public hospitals in Israel. In this study we compared the data of patients before and after OHSS implementation to determine its efficacy in improving patient care.MethodsThis is a retrospective observational study of 792 adult patients who underwent hip fracture surgery between 2002 and 2007 in a single hospital. The study population included two groups: patients that were operated before the implementation of the OHSS (2002–2004) and after the implementation of the OHSS (2005–2007). Data regarding all patients was collected using the institution’s computer program. The following variables were analyzed: patients’ demographics, time interval from hospitalization to surgery, causes for delaying surgery, post-operative length of hospitalization and mortality.ResultsPatients in the post-OHSS group had more illnesses and higher ASA classification than those in the pre-OHSS group. The post-OHSS group had a significantly decreased length of stay in the hospital before and after the surgery. After adjusting for ASA score and age, the post-OHSS group was found to have decreased post-operative hospitalization and lower post-operative mortality. Surgery was delayed in pre-OHSS period mainly due to operating rooms unavailability.ConclusionImplementation of OHSS facilitated operating room availability, thus early operation and reduced post-operative mortality. In accordance with other studies, patient’s outcome is greatly influenced by the time from admission to hip fracture surgery.

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Constructing an episode of care from acute hospitalization records for studying effects of timing of hip fracture surgery

Sobolev

Guy

Bohm

et al. 2015

Journal Orthopaedic Research

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Episodes of care defined by the event of hip fracture surgery are widely used for the assessment of surgical wait times and outcomes. However, this approach does not consider nonoperative deaths, implying that survival time begins at the time of procedure. This approach makes treatment effect implicitly conditional on surviving to treatment. The purpose of this article is to describe a novel conceptual framework for constructing an episode of hip fracture care to fully evaluate the incidence of adverse events related to time after admission for hip fracture. This admission-based approach enables the assessment of the full harm of delay by including deaths while waiting for surgery, not just deaths after surgery. Some patients wait until their conditions are optimized for surgery, whereas others have to wait until surgical service becomes available. We provide definitions, linkage rules, and algorithms to capture all hip fracture patients and events other than surgery. Finally, we discuss data elements for stratifying patients according to administrative factors for delay to allow researchers and policymakers to determine who will benefit most from expedited access to surgery. ß

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Early Mortality After Hip Fracture

Cited by 101 publications

References 7 publications

Relationship Between Mortality and Timing of Surgery in Elderly Intertrochanteric Hip Fractures

Relationship Between Mortality and Timing of Surgery in Elderly Intertrochanteric Hip Fractures

The effect of ‘Out of hours surgery Service’ in Israel on hip fracture fixation outcomes: a retrospective analysis

Constructing an episode of care from acute hospitalization records for studying effects of timing of hip fracture surgery

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