Health related quality of life, reoperation rate and function in patients with diabetes mellitus and hip fracture—A 2 year follow-up study

Diabetes Confers Little to No Increased Risk of Postoperative Complications After Hip Fracture Surgery in Geriatric Patients

“…It was not until 24 months after hip fracture surgery that an increased risk of congestive heart failure and renal failure in patients with diabetes was detected. Both studies [10,22] are consistent with the findings of our study. The only differences were an increased risk of pressure ulcers and increased congestive heart failure and renal failure at 24 months followup, comparisons that were unavailable to us owing to specifics of the ACS-NSQIP 1 database.…”

“…However, no other individual adverse events showed a difference in risk between patients with diabetes and those without diabetes. Some of these findings mirror those of a previous study, as is the case with no difference in risk of return to the operating room [10], whereas others are in contrast, as is the case with an increased risk of renal failure [10]. Of particular interest is the finding that there was no increased risk of any type of infection.…”

“…Implementation of the conclusions of the current study could allow for a more specific and expedited evaluation of patients with diabetes who need hip fracture surgery. Finally, some studies have shown that diabetes may not play as large a role in postoperative complications in this cohort as originally thought [10,21]. This provides a valuable and interesting foundation for future studies to further substantiate these findings.…”

“…An additional study determined that patients with diabetes were at increased risk of cardiac complications and pressure ulcers after hip fracture surgery, but no greater risk of thromboembolic, wound, or respiratory complications [22]. Furthermore, another study determined there was no difference in any postoperative complication between patients with diabetes and those without at 4 and 12 months followup [10]. It was not until 24 months after hip fracture surgery that an increased risk of congestive heart failure and renal failure in patients with diabetes was detected.…”

“…Previous studies evaluating diabetes and operative stabilization of hip fractures have shown an increased risk of postoperative cardiac complications [10,22], renal dysfunction [10,17], urinary retention [1], extended length of hospital stay [22], and hospital readmission within 28 days [14]. Although all valuable contributions, many of these investigations were limited by small sample sizes, restriction to a single-hospital system, or lack of postdischarge followup.…”