Key result
Hip fracture surgery is linked to ~51% fewer complications and shorter stays versus non-surgical care.
Why the study?
The comparative clinical outcomes and hospital length of stay between surgical and non-surgical management in elderly hip fracture patients were not well characterized.
Does surgical treatment reduce complications and hospital length of stay in elderly patients with hip fractures?
Observational (n=2,756)
No
Does surgical treatment reduce complications and hospital length of stay in elderly patients with hip fractures?
Odds Ratio: 0.49 (95% CI 0.37–0.65)
Absolute Event Rate: 6.6% vs 12.5%
p-value: p=< 0.01
Surgical management of hip fractures in elderly patients is associated with fewer complications and shorter hospital stays compared to non-surgical management.
May support surgical preference in elderly hip fractures; leaves open causality and generalizability pending RCTs.
INTRODUCTION: The purpose of this study was to compare the clinical outcomes of elderly hip fracture patients who received surgical treatment with those who received non-surgical treatment. METHODS: This retrospective study involved 2,756 elderly patients with hip fractures who were admitted over a six-year period. The patients' biodata, complications, ambulatory status at discharge and length of hospital stay were obtained from the institution's hip fracture registry. RESULTS: Among the 2,756 hip fracture patients, 2,029 (73.6%) underwent surgical intervention, while 727 (26.4%) opted for non-surgical intervention. The complication rate among the patients who underwent surgical intervention was 6.6%, while that among the patients who underwent non-surgical intervention was 12.5% (p < 0.01). The mean length of hospital stay for the surgical and non-surgical hip fracture patients was 15.7 days and 22.4 days, respectively (p < 0.01). CONCLUSION: Surgical management of hip fractures among the elderly is associated with a lower complication rate, as well as a reduced length of hospital stay.
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Tan et al. (2016) conducted an observational in Hip fractures (n=2,756). Surgical management vs. Non-surgical management was evaluated on Complication rate (OR 0.49, 95% CI 0.37-0.65, p=< 0.01). Surgical management of hip fractures in elderly patients was associated with a significantly lower complication rate (6.6% vs 12.5%, OR 0.49) and shorter hospital stay compared to non-surgical management.
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