Achieving hip fracture surgery within 36 hours: an investigation of risk factors to surgical delay and recommendations for practice

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Why the study?

Does hyponatraemia increase the risk of surgical delay and mortality in patients undergoing hip fracture surgery?

Structured PICO

Does hyponatraemia increase the risk of surgical delay and mortality in patients undergoing hip fracture surgery?

Population

1361 patients undergoing hip fracture surgery, with data from the UK National Hip Fracture Database (NHFD).

Intervention

Presence of medical risk factors, specifically hyponatraemia.

Comparator

Normonatraemic patients.

Outcome

Surgical delay (>36 hours from admission) and mortality.hard clinical

Hip fracture surgery should not be delayed for non-severe and isolated hyponatraemia, as it does not impact mortality.

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Hyponatraemia was associated with surgical delay but not mortality after matching; leaves open whether correction improves hip fracture outcomes.

Aqil et al. (2015) studied this question.

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Hyponatraemia was associated with surgical delay but not mortality after matching; leaves open whether correction improves hip fracture outcomes.