Key result
Hip fracture surgery was associated with a higher risk of in-hospital mortality compared with elective total hip replacement (1.82% vs 0.31%; RR 5.88; 95% CI 5.26-6.58; P<.001).
Why the study?
Does hip fracture surgery increase postoperative in-hospital mortality compared with elective total hip replacement in patients older than 45 years?
Cohort (n=690,995)
Yes
Does hip fracture surgery increase postoperative in-hospital mortality compared with elective total hip replacement in patients older than 45 years?
Relative Risk: 5.88 (95% CI 5.26–6.58)
Absolute Event Rate: 1.82% vs 0.31%
p-value: p=< .001
Hip fracture surgery is associated with a significantly higher risk of in-hospital mortality and major complications compared with elective total hip replacement, even after adjusting for age, sex, and comorbidities.
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Supports closer monitoring after hip fracture surgery; leaves open whether targeted interventions reduce mortality.
Manach et al. (2015) conducted a cohort in Hip fracture or elective total hip replacement (n=690,995). Hip fracture surgery vs. Elective total hip replacement (THR) was evaluated on Postoperative in-hospital mortality (RR 5.88, 95% CI 5.26-6.58, p=< .001). Hip fracture surgery was associated with a higher risk of in-hospital mortality compared with elective total hip replacement (1.82% vs 0.31%; RR 5.88; 95% CI 5.26-6.58; P<.001).
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