Key result
Early fixation of proximal hip fractures did not significantly improve physical quality of life at 6 months compared to delayed fixation, but yielded significantly better mental health scores.
Why the study?
Current guidelines recommend hip fracture surgery within 24 hours of injury, but proponents of delayed surgery argue it allows time for medical optimization to reduce perioperative complications.
Does early fixation improve physical and mental outcomes in elderly patients with hip fractures compared to delayed fixation?
Cohort (n=58)
No
Does early fixation improve physical and mental outcomes in elderly patients with hip fractures compared to delayed fixation?
Early fixation of hip fractures in the elderly improves mental health outcomes and reduces hospital stay, though physical outcomes at 6 months are similar to delayed fixation.
May support earlier fixation for mental health in hip fracture patients; leaves open physical QoL effects pending randomized trials.
The study aimed to nd if an earlier xation of proximal hip fractures in the elderly, leads to a better outcome, physically and mentally.Current guidelines recommend that hip fracture surgery should be done within 24 hours of injury.But those favoring a delay in surgery believe that it provides su cient time to medically optimize patients, and thereby decrease the risk for perioperative complication.Our study was carried out in a tertiary care center.A total of 58 patients was enrolled in the study.Analysis showed, in comparison with the delayed xation group, the early xation group didn't enjoy a statistically better physical quality of life at the end of 6 months, but mental health scores were signi cantly above the delayed xation group.It also showed the most common reason for the delay was late presentation followed by delayed insurance clearance.An increased hospital stay was also seen for the delayed xation group.
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Gopurathingal et al. (2022) conducted a cohort in Proximal hip fractures (n=58). Early fixation vs. Delayed fixation was evaluated on Physical quality of life and mental health scores. Early fixation of proximal hip fractures did not significantly improve physical quality of life at 6 months compared to delayed fixation, but yielded significantly better mental health scores.
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