Key result
Delayed operative intervention (>48 hours) for traumatic hip fracture in older adults was associated with a greater likelihood of mortality (AOR 1.28; 95% CI 1.17-1.40) compared to early repair.
Why the study?
The study sought to evaluate clinical outcomes of delayed intervention following hip fractures in elderly adults.
Cohort (n=1,942,905)
Yes
Answers are grounded in this paper and cite their sources.
Delayed repair linked to neck fractures and arthroplasty in observational data; leaves open independent effects on outcomes.
The present study sought to evaluate clinical outcomes of delayed intervention following hip fractures. Adults (≥60 years) who underwent operative intervention for hip fracture following traumatic fall were identified using the 2008–2018 National Inpatient Sample. Patients were classified as Delayed if repair was >48 h after admission and otherwise considered Early. Of an estimated 1,942,905 patients, 148,441 (7.6%) were Delayed. Delayed more commonly suffered neck fractures, underwent hip arthroplasty and were managed at low-volume hospitals. After adjustment, delayed operation was associated with greater likelihood of mortality (adjusted odds ratio (AOR): 1.28, 95% CI: 1.17–1.40), studied complications, hospitalization duration and costs.
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Tran et al. (2021) conducted a cohort in Traumatic hip fracture (n=1,942,905). Delayed intervention (>48 h after admission) vs. Early intervention (≤48 h after admission) was evaluated on mortality (AOR 1.28, 95% CI 1.17-1.40). Delayed operative intervention (>48 hours) for traumatic hip fracture in older adults was associated with a greater likelihood of mortality (AOR 1.28; 95% CI 1.17-1.40) compared to early repair.
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