Key result
A surgical delay of 3 to 7 days significantly increased the risk of in-hospital mortality (OR 1.547) compared to early surgery within 24 hours in older patients with intertrochanteric fractures.
Why the study?
The clinical effect of surgical timing in older patients with intertrochanteric fractures remains controversial.
Does delayed internal fixation surgery increase in-hospital mortality and postoperative complications in older patients with intertrochanteric fractures?
Cohort (n=228,725)
Yes
Does delayed internal fixation surgery increase in-hospital mortality and postoperative complications in older patients with intertrochanteric fractures?
Odds Ratio: 1.547 (95% CI 1.41–1.696)
Absolute Event Rate: 4.214% vs 1.847%
p-value: p=<0.001
Prolonged surgical delay of more than 48 hours for intertrochanteric fractures in older patients is significantly associated with increased in-hospital mortality and postoperative complications.
Longer delays linked to higher mortality and complications; leaves open whether early surgery causally improves outcomes in older IF patients.
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Pan et al. (2026) conducted a cohort in Intertrochanteric fractures (n=228,725). Longer surgical delay (3 to 7 days) vs. Early surgery (within 24 hours) was evaluated on In-hospital mortality (OR 1.547, 95% CI 1.410-1.696, p=<0.001). A surgical delay of 3 to 7 days significantly increased the risk of in-hospital mortality (OR 1.547) compared to early surgery within 24 hours in older patients with intertrochanteric fractures.
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