Key result
Postoperative acute renal failure was the strongest predictor of an extended length of hospital stay of 14 days or more after geriatric hip fracture surgery (OR 7.782).
Why the study?
A subset of geriatric hip fracture patients have excessive hospital stays, and understanding associated risk factors could help direct targeted prevention efforts.
What are the preoperative and postoperative risk factors associated with an extended length of hospital stay in the geriatric hip fracture population?
Population
77,144 patients aged ≥65 years undergoing hip fracture surgery
Comparison
Extended length of stay (≥14 days) vs shorter stay
Design
Retrospective database cohort study with model validation
Authors
Loading...
Postoperative acute renal failure, prolonged ventilation, and pneumonia strongly predict eLOS in geriatric hip fractures; hypothesis-generating for targeted interventions in prospective trials.
Cohort (n=77,144)
Yes
What are the preoperative and postoperative risk factors associated with an extended length of hospital stay in the geriatric hip fracture population?
Odds Ratio: 7.782 (95% CI 5.423–11.169)
p-value: p=<0.0001
Preoperative comorbidities and postoperative complications, particularly acute renal failure and pneumonia, are strong predictors of extended length of hospital stay in geriatric hip fracture patients.
Schneider et al. (2021) conducted a cohort in Geriatric hip fracture (n=77,144). Postoperative acute renal failure vs. No postoperative acute renal failure was evaluated on Extended length of hospital stay (eLOS) ≥14 days (OR 7.782, 95% CI 5.423-11.169, p=<0.0001). Postoperative acute renal failure was the strongest predictor of an extended length of hospital stay of 14 days or more after geriatric hip fracture surgery (OR 7.782).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: