October 17, 2016Journal of Orthopaedic Surgery and ResearchOpen Access

Patient preferences for emergency or planned hip fracture surgery: a cross-sectional study

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hip fracture (n=102). Intervention: Planned hip fracture surgery vs. Emergency hip fracture surgery. Primary outcome: Patient preference for planned versus emergency surgery.

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Key result

Patients with hip fractures overwhelmingly preferred planned surgery (93.1%) over emergency surgery (6.9%), primarily valuing increased specialist supervision and reduced risk of cancellation.

Study Design

Type

Cross-Sectional (n=102)

Multicenter

Structured PICO

Population

102 older adults (mean age 79.6 years, 66.7% female) awaiting operative management for a hip fracture at a single Australian tertiary hospital.

Exposure

Hypothetical choice of planned surgery (operation conducted only during normal working hours on a routine orthopaedic operating schedule)

Comparator

Hypothetical choice of emergency surgery (operation conducted at the first available opportunity following placement on a shared hospital emergency theatre list)

Outcome

Patient preference for emergency or planned hip fracture surgerypatient reported

Main Result

Absolute Event Rate: 93.1% vs 6.9%

Patients with hip fractures overwhelmingly prefer planned surgery over emergency surgery, primarily valuing specialist supervision and the avoidance of operative cancellation.

Limitations

Conducted at a single tertiary hospital that only uses planned surgery, introducing potential bias.
Questionnaire administered by a member of the surgical team, which may influence responses.
Cross-sectional design in the preoperative stage with no postoperative follow-up.
Potential screening bias due to non-consecutive sampling.
Possible information bias based on the wording of the informational transcript.
Findings from a single Australian trauma center may not be generalizable to other settings.
Single tertiary hospital that manages hip fractures only with planned surgery, creating potential bias towards this modality.
Questionnaire administered by a prospective surgeon or member of the surgical team, which could influence responses.
No postoperative follow-up to evaluate if the actual surgical experience influenced patient preference.
Potential screening bias due to non-consecutive sampling of patients.
Possible information bias based on the chosen wording of the informational transcript.

Discussion

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Implication

Supports incorporating patient preferences into hip fracture scheduling; Level 4 data leaves open outcome effects and practice change.

Cite This Study

Aggarwal et al. (2016) conducted a cross-sectional in Hip fracture (n=102). Planned hip fracture surgery vs. Emergency hip fracture surgery was evaluated on Patient preference for planned versus emergency surgery. Patients with hip fractures overwhelmingly preferred planned surgery (93.1%) over emergency surgery (6.9%), primarily valuing increased specialist supervision and reduced risk of cancellation.

synapsesocial.com/papers/6a8452485c5b0dd3e07bedce https://doi.org/10.1186/s13018-016-0454-2

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Patient preferences for emergency or planned hip fracture surgery: a cross-sectional study

Study Design

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Patient preferences for emergency or planned hip fracture surgery: a cross-sectional study

Study Design

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Also Consider

Also Consider