Key result
Preoperative cardiac testing increased mean delay to surgery (3.2 vs 1.7 days) and length of stay (9.4 vs 7.3 days) in older patients with hip fractures.
Why the study?
What factors are associated with delay to surgery and increased length of stay in geriatric patients with hip fractures?
Population
635 consecutive patients aged 65 years or older with a hip fracture admitted to a single Level I Trauma…
Design
Cohort
Follow-up
until hospital discharge
Authors
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May warrant selective preoperative cardiac testing in geriatric hip fractures; leaves open causal effects versus confounding by indication.
Cohort (n=635)
No
What factors are associated with delay to surgery and increased length of stay in geriatric patients with hip fractures?
Preoperative cardiac testing and weekend admission are significant drivers of delayed surgery and prolonged hospital stay in geriatric hip fracture patients.
Ricci et al. (2014) conducted a cohort in hip fracture (n=635). Day of admission, ASA score, and preoperative cardiac testing vs. Other days, lower ASA score, and no preoperative testing was evaluated on Delay to surgery (DTS) and hospital length of stay (LOS). Preoperative cardiac testing increased mean delay to surgery (3.2 vs 1.7 days) and length of stay (9.4 vs 7.3 days) in older patients with hip fractures.
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