Why the study?
Does delayed surgical fixation (>24 hours) increase in-hospital mortality in elderly patients with hip fracture compared to early surgery (<24 hours)?
Population
3981 patients with hip fractures >60 years of age admitted to hospitals in one Canadian health region from…
Comparison
Surgical fixation of hip fracture 24-48 hours or… vs Surgical fixation within 24 hours (early surgery)
Design
Cohort
Follow-up
In-hospital
Authors
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No mortality increase with delayed hip fracture surgery in elderly; observational data leave open need for RCTs to guide timing.
Does delayed surgical fixation (>24 hours) increase in-hospital mortality in elderly patients with hip fracture compared to early surgery (<24 hours)?
In elderly patients with hip fracture, surgical fixation beyond 24 hours was not independently associated with increased early in-hospital mortality compared to surgery within 24 hours.
Majumdar et al. (2006) studied this question.
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