Key result
In elderly patients with hip fractures, surgery within 24 hours of admission was associated with lower odds of respiratory complications (OR 0.78; 95% CI 0.67-0.90) and extended length of stay.
Why the study?
Does early surgery within 24 hours of admission reduce short-term post-operative complications in elderly patients with hip fractures?
Population
26,051 patients age 65 or older that underwent surgery for closed femoral neck and intertrochanteric hip…
Comparison
Early hip fracture surgery within 24 hours of… vs Hip fracture surgery after 24 hours of admission
Design
Cohort
Follow-up
short-term post-operative
Authors
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Early hip fracture surgery may lower respiratory complications and LOS; observational data leaves causal benefit open for RCTs.
Cohort (n=26,051)
Yes
Does early surgery within 24 hours of admission reduce short-term post-operative complications in elderly patients with hip fractures?
Odds Ratio: 0.78 (95% CI 0.67–0.9)
In elderly patients with hip fractures, performing surgery within 24 hours of admission is associated with significantly fewer respiratory complications and a shorter hospital length of stay.
Fu et al. (2017) conducted a cohort in closed femoral neck and intertrochanteric hip fractures (n=26,051). Surgery within 24 hours of admission vs. Surgery after 24 hours was evaluated on respiratory complications including pneumonia, failure to extubate, or reintubation (OR 0.78, 95% CI 0.67 to 0.90). In elderly patients with hip fractures, surgery within 24 hours of admission was associated with lower odds of respiratory complications (OR 0.78; 95% CI 0.67-0.90) and extended length of stay.
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