Key result
Total delay to hip fracture surgery exceeding 48 hours was associated with increased three-day mortality (RR 1.69; 95% CI 1.23-2.34; P=0.001) and one-year mortality.
Why the study?
The study was conducted to investigate mortality and the risk of intraoperative medical complications depending on delay to hip fracture surgery.
Does delay to hip fracture surgery increase mortality and intraoperative medical complications in patients ≥50 years of age?
Population
Hip fracture patients aged 50 years or older in Norway
Comparison
Surgery delays of ≤12 hours, 13-24 hours, 25-36 hours, 37-48 hours, and >48 hours
Design
Registry-based cohort study
Follow-up
1 year
Authors
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Supports expediting hip fracture surgery within 48 hours; leaves open causal mortality effects pending randomized trials.
Cohort (n=83,727)
Yes
Does delay to hip fracture surgery increase mortality and intraoperative medical complications in patients ≥50 years of age?
Relative Risk: 1.69 (95% CI 1.23–2.34)
p-value: p=0.001
Delaying hip fracture surgery beyond 48 hours from fracture increases short- and long-term mortality, and hospital delays over 24 hours increase intraoperative medical complications.
Leer-Salvesen et al. (2019) conducted a cohort in Hip fracture (n=83,727). Total delay to surgery exceeding 48 hours vs. Total delay less than 48 hours was evaluated on Three-day mortality (RR 1.69, 95% CI 1.23-2.34, p=0.001). Total delay to hip fracture surgery exceeding 48 hours was associated with increased three-day mortality (RR 1.69; 95% CI 1.23-2.34; P=0.001) and one-year mortality.
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