Key result
Surgical delay of more than 2 days did not significantly increase 30-day mortality compared to surgery within 2 days (9.4% vs 5.8%).
Why the study?
Does a delay to surgery of more than 2 days increase 30-day mortality in patients over 50 years of age with a hip fracture?
Population
222 consecutive patients greater than 50 years of age who underwent surgical management of a hip fracture at…
Comparison
Surgery delayed by more than 2 calendar days vs Surgery within 2 days of admission
Design
Cohort
Follow-up
30 days
Authors
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No mortality increase with >2-day delay in this cohort; leaves open causal effects of timing pending prospective trials.
Observational (n=222)
No
Does a delay to surgery of more than 2 days increase 30-day mortality in patients over 50 years of age with a hip fracture?
Absolute Event Rate: 9.4% vs 5.8%
A delay of more than 2 days to hip fracture surgery did not significantly increase 30-day mortality in this cohort, though early surgery remains recommended.
Rae et al. (2007) conducted an observational in hip fracture (n=222). Surgical delay of more than 2 calendar days vs. Surgery within 2 days of admission was evaluated on 30-day mortality after surgery. Surgical delay of more than 2 days did not significantly increase 30-day mortality compared to surgery within 2 days (9.4% vs 5.8%).
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