Key result
Meeting the NICE time-to-surgery benchmark for hip fracture was not associated with reduced major complications (OR 0.93; 95% CI 0.83-1.05; P=.234), but was associated with reduced 30-day mortality.
Why the study?
Does meeting the NICE time-to-hip-fracture-surgery benchmark improve 30-day outcomes in patients aged 60 years or older undergoing hip fracture surgery?
Population
26,066 patients aged 60 years or older who underwent hip fracture surgery between 2005 and 2013 identified…
Comparison
Treatment within the United Kingdom's National… vs Treatment outside the NICE…
Design
Cohort
Follow-up
30-day
Authors
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Associated with lower mortality but not major complications; leaves open causal effects in observational data.
Cohort (n=26,066)
Yes
Does meeting the NICE time-to-hip-fracture-surgery benchmark improve 30-day outcomes in patients aged 60 years or older undergoing hip fracture surgery?
Odds Ratio: 0.93 (95% CI 0.83–1.05)
p-value: p=0.234
Meeting the NICE time-to-surgery benchmark for hip fractures is associated with reduced 30-day mortality, minor complications, and length of stay.
Neufeld et al. (2016) conducted a cohort in hip fracture (n=26,066). Meeting the NICE time-to-hip-fracture-surgery benchmark vs. Missing the benchmark was evaluated on major complications (OR 0.93, 95% CI 0.83-1.05, p=0.234). Meeting the NICE time-to-surgery benchmark for hip fracture was not associated with reduced major complications (OR 0.93; 95% CI 0.83-1.05; P=.234), but was associated with reduced 30-day mortality.
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