Why the study?
Does hospital type and surgical delay affect mortality in patients undergoing surgery for hip fracture?
Population
57,315 hip fracture patients admitted to hospital in Ontario, Canada
Comparison
Treatment in teaching hospitals and/or surgical… vs Treatment in urban community institutions and/or…
Design
Cohort
Follow-up
1 year
Key result
Treatment in teaching hospitals reduced in-hospital mortality (OR 0.89; 95% CI 0.83-0.97), whereas surgical delays of one day (OR 1.13) or >2 days (OR 1.60) increased mortality.
Authors
Loading...
Observed delay and hospital-type associations in hip fracture warrant prospective validation; leaves open causal effects on mortality.
Cohort (n=57,315)
Yes
Does hospital type and surgical delay affect mortality in patients undergoing surgery for hip fracture?
Odds Ratio: 0.89 (95% CI 0.83–0.97)
Delaying hip fracture surgery for non-medical reasons is associated with increased mortality, and treatment at teaching hospitals is associated with lower in-hospital mortality compared to urban community hospitals.
Weller et al. (2005) conducted a cohort in Hip fracture (n=57,315). Treatment in a teaching hospital vs. Treatment in an urban community institution was evaluated on In-hospital mortality (OR 0.89, 95% CI 0.83-0.97). Treatment in teaching hospitals reduced in-hospital mortality (OR 0.89; 95% CI 0.83-0.97), whereas surgical delays of one day (OR 1.13) or >2 days (OR 1.60) increased mortality.