What question did this study set out to answer?

This research aims to determine if a patient's primary language influences time to surgery and overall outcomes following hip fracture repairs.

January 10, 20260 citationsOpen Access

Association between primary language and perioperative outcomes for geriatric hip fractures

DBDavid A. BloomNew York University Langone Orthopedic Hospital GEGarrett W. EsperNYU Langone Health CHChristopher G. HerbosaNYU Langone Health

Key Result

Non-English speaking patients had similar time to surgery and length of stay as English speakers despite poorer baseline medical conditions.

Key Points

This research aims to determine if a patient's primary language influences time to surgery and overall outcomes following hip fracture repairs.
Reviewed data from 1880 patients over 55 years old who had hip fractures between 2014 and 2021.
Compared English-speaking cohorts to non-English-speaking cohorts based on demographics and outcomes.
Analyzed hospital quality measures and time to surgery.
No significant differences in time to surgery or length of hospital stay between English and non-English cohorts (P > .05).
English-speaking cohort was younger, had lower body mass index, and a lower anesthesiology score (P < .01).
Non-English cohort had a higher proportion of Hispanic and Asian patients, despite receiving comparable care.

Structured PICO

Does primary language affect patient time to surgery following hip fractures in patients >55 years?

Population

1880 patients >55 years who underwent operative hip fracture repair between 2014 and 2021

Intervention

Non-English (NE) primary language (n=403)

Comparator

English (E) primary language (n=1477)

Outcome

Time to surgery following hip fractures

Despite poorer baseline medical conditions, non-English speaking patients received similar care to English speakers regarding time to surgery and length of stay for hip fracture repair.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

The purpose of this study was to assess whether language affects patient time to surgery following hip fractures. Patients >55 years who underwent operative hip fracture repair between 2014 and 2021 were reviewed for demographics, language, hospital quality measures, and outcomes. Patients were split into English (E) or non-English (NE) cohorts based on their primary language. A total of 1880 patients (1477 E, 403 NE) were included. The E cohort was younger, had lower body mass index, and lower American Society of Anesthesiology Score ( P .05). Despite poorer baseline medical conditions, NE speaking patients received similar care to English speakers highlighting the importance of an effective standardized protocol with readily available translation services. Level III, Retrospective cohort study. Keywords: hip fracture, primary language, english, time to surgery, outcomes

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