Medical Complications and Outcomes After Hip Fracture Repair

Lawrence, Valerie A.; Hilsenbeck, Susan G.; Noveck, Helaine; Poses, Roy M.; Carson, Jeffrey L.

doi:10.1001/archinte.162.18.2053

Cited by 326 publications

(229 citation statements)

References 54 publications

Supporting

Mentioning

202

Contrasting

Unclassified

Order By: Relevance

“…In a retrospective study including 8,930 patients operated for a hip fracture, medical complications occurred in 19% (Lawrence et al 2002). Cardiac and pulmonary complications were most frequent.…”

Section: Complicationsmentioning

confidence: 99%

Internal fixation of fragility fracturesof the femoral neck

Basso¹

2015

Acta Orthopaedica

View full text Add to dashboard Cite

Section: Complicationsmentioning

confidence: 99%

Internal fixation of fragility fracturesof the femoral neck

Basso¹

2015

Acta Orthopaedica

View full text Add to dashboard Cite

“…5 High complication and mortality rates associated with hip fractures have been well documented in the literature. [6][7][8][9][10][11][12][13][14][15] Poor outcomes may be predicted by patient comorbidities, surgical timing, and surgical volume. 7,[15][16][17][18][19][20][21][22][23][24][25][26][27] The effect of surgical time of day on hip fracture outcome is less clear.…”

Section: Introductionmentioning

confidence: 99%

Surgical Time of Day Does Not Affect Outcome Following Hip Fracture Fixation

Switzer

Bennett

Wright

et al. 2013

Geriatr Orthop Surg Rehabil

View full text Add to dashboard Cite

Background: Due to the need for medical optimization and congested operating room schedules, surgical repair is often performed at night. Studies have shown that work done at night increases complications. The primary aim of our study is to compare the rates of complications and 30-day mortality between 2 surgical times of day, daytime group (DTG, 07:00-15:59) and nighttime group (NTG,. Methods: Retrospective chart review from 2005 through 2010. Setting: Level 1 Trauma Center. Participants: 1443 patients with hip fracture, age 50 years with isolated injury and surgical treatment of the fracture. Main Outcomes and Measures: Thirty-day mortality and complications: myocardial infarction, cardiac event, stroke, central nervous system event, pneumonia, urinary tract infection, postoperative wound infection, and bleeding requiring transfusion of 3 or more red blood cell units. Results: A total of 859 patients met the inclusion criteria; 668 patients in the DTG and 191 patients in the NTG. The 30-day mortality was 7.8%. The complication rate was 28%. No difference was found in 30-day mortality or complication rate based on the time of day the surgery was performed (P ¼ 1.0 and P ¼ .92, respectively). This remained unchanged when controlling for health status and surgical complexity. Age (odds ratio ¼ 1.03/year), Charlson Comorbidity Index (CCI; odds ratio ¼ 1.21), and American Society of Anesthesiologists (ASA; odds ratio ¼ 1.85) score were predictive of adverse outcomes. Conclusion: Surgical time of day did not affect 30-day mortality or total number of complications. Age, ASA score, and CCI were associated with adverse outcomes.

show abstract

“…PPCs are common and contribute to increased length of stay, perioperative morbidity, and mortality [13, 14]. It has been reported that pulmonary complications affected 4% of patients after hip fracture repair, and more than half of them were severe complications, such as pneumonia or respiratory failure [15]. A growing body of evidence indicates that PPCs may even predict long-term survival, especially among patients aged 70 or above [16, 17].…”

Section: Introductionmentioning

confidence: 99%

Pre-operative pulmonary assessment for patients with hip fracture

Siu

Tse

et al. 2010

Osteoporos Int

View full text Add to dashboard Cite

Hip fracture is a common injury among the elderly. Although patients who receive hip fracture surgery carry the best functional recovery compared to other treatment modalities, the presence of postoperative pulmonary complications, such as atelectasis, pneumonia, and pulmonary thromboembolism, may contribute to increased length of hospital stay, perioperative morbidity, and mortality. This review aims to provide evidence-based recommendations for preoperative assessment and perioperative strategies to reduce the risk of pulmonary complications after hip fracture surgery. Clinical assessment and basic laboratory results are sufficient to stratify the risk of postoperative pulmonary complications. Well-documented risk factors for pulmonary complications include advanced age, poor general health status, current infections, pre-existing cardiopulmonary diseases, hypoalbuminemia, and impaired renal function. Apart from optimizing the patient's medical conditions, interventions such as lung expansion maneuvers and thromboprophylaxis have been proven to be effective in reducing the risk of pulmonary complications after hip fracture surgery.

show abstract

Medical Complications and Outcomes After Hip Fracture Repair

Abstract: Most patients had no medical complications after hip fracture repair. Serious cardiac and pulmonary complications were equally important in frequency, mortality, and survivors' length of stay. Patients with multiple complications had especially poor prognosis.

Cited by 326 publications

References 54 publications

Internal fixation of fragility fracturesof the femoral neck

Internal fixation of fragility fracturesof the femoral neck

Surgical Time of Day Does Not Affect Outcome Following Hip Fracture Fixation

Pre-operative pulmonary assessment for patients with hip fracture

Contact Info

Product

Resources

About