Key result
Delayed hip fracture surgery linked to ~11-fold higher excess financial burden versus early surgery.
Why the study?
Fragility hip fractures have serious socioeconomic implications and the financial burden related to delayed surgical treatment is not well quantified.
Does delayed surgery increase the financial burden in patients older than 65 years with low energy hip fractures?
Population
145 patients older than 65 years with low energy hip fractures surgically treated in Thessaloniki, Greece
Comparison
Delayed surgery (after 48 hours) vs early surgery (within 48 hours)
Design
Retrospective observational cohort study at a tertiary university hospital
Follow-up
In-hospital
Authors
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May prompt cost-focused pathway reviews; leaves open causal outcome effects in observational data.
Observational (n=145)
No
Does delayed surgery increase the financial burden in patients older than 65 years with low energy hip fractures?
Absolute Event Rate: 45654.14% vs 4074.64%
p-value: p=0.01
Delayed hip fracture surgery significantly increases the financial burden on healthcare systems and is strongly associated with prior anticoagulation therapy.
Chatziravdeli et al. (2021) conducted an observational in Low energy hip fractures (n=145). Delayed surgery (>48 hours from admission) vs. Early surgery (≤48 hours from admission) was evaluated on Excess financial burden from baseline reimbursement (in Euros) (p=0.01). Delayed hip fracture surgery beyond 48 hours significantly increased the excess financial burden on public health insurance funds to 45,654.14€ compared to 4,074.64€ for early surgery.
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