Key result
Delaying hip fracture surgery for over 48 hours was independently associated with an increased risk of 1-year mortality (HR 1.057) compared to surgery within 48 hours.
Why the study?
Hip fracture is a major issue in elderly patients with rising incidence, requiring identification of risk factors to reduce mortality and morbidity.
Does time to surgery > 48 hours increase 1-year mortality in elderly patients undergoing hip fracture surgery?
Population
309 patients with hip fracture who underwent surgery
Comparison
Time to surgery over 48 hours vs within 48 hours following hospital admission
Design
Observational prospective single-center study
Follow-up
1 year
Authors
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May support expedited surgery in elderly hip fracture patients; leaves open causal confirmation in randomized trials.
Observational (n=309)
No
Does time to surgery > 48 hours increase 1-year mortality in elderly patients undergoing hip fracture surgery?
Hazard Ratio: 1.057 (95% CI 1.007–1.108)
Absolute Event Rate: 30.4% vs 18%
p-value: p=0.024
Delaying hip fracture surgery beyond 48 hours in elderly patients is independently associated with increased 1-year mortality.
Huette et al. (2020) conducted an observational in Hip fracture (n=309). Time to surgery > 48 hours vs. Time to surgery ≤ 48 hours was evaluated on 1-year mortality (HR 1.057, 95% CI 1.007-1.108, p=0.024). Delaying hip fracture surgery for over 48 hours was independently associated with an increased risk of 1-year mortality (HR 1.057) compared to surgery within 48 hours.
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