The goal of the present study is to evaluate the association between timing of hip fracture surgery with post-operative length of stay and outcomes.
Retrospective review utilizing the American College of Surgeon’s National Surgical Quality Improvement Program (NSQIP) database.
National inquiry database incorporating 140 academic and private medical centers
17,459 patients who underwent surgery for a hip fracture between 2006-2013 were identified from the NSQIP database.
Surgical management of hip fractures was performed at the discretion of participating surgeons.
30-day outcomes including post-operative length of stay, readmission rates, reoperation rates, complications, and mortality rates.
Of the 17,459 patients, 4,107 (23.5%) were operated on within 24 hours, 8,740 (50.1%) within 24-48 hours, and 4,612 (26.4%) greater than 48 hours after hospital admission. Increased time to surgery was associated with longer post-operative hospital length of stay. Prolonged time to surgery did not adversely affect post-operative outcomes.
While a delay in the management of hip fractures is associated with an increase in post-operative hospital length of stay, 30-day post-operative outcomes are not adversely affected in patients undergoing hip fracture fixation.
3 (Prognostic retrospective cohort study)
1The University of Arizona, Department of Orthopaedic Surgery, Phoenix, Arizona.
2University of Mississippi Medical Center, Jackson, Mississippi
3The CORE Institute, Phoenix, Arizona
Corresponding Author: Sean M. Mitchell MD, The University of Arizona College of Medicine Phoenix, Department of Orthopaedic Surgery, 1320 N 10th Street, Suit A, Phoenix, AZ 85006, Fax: 01 (602) 839-3671 Telephone: 01 (630) 696-2195 Email: email@example.com
Conflicts of Interest and Source of Funding: CBJ receives IP royalties from Lippincott. GVR is a paid speaker AONA, receives research funding from METRC & Synthes, and holds stock in SMV & Zimmer. SMM, ASC, JBW, and JWH have none to declare.
Presented as a poster at the Orthopaedic Trauma Association Annual Meeting of 2018, October 11-14, Vancouver, Canada
Presented as an e-poster at the International Geriatric Fracture Society Annual Meeting of 2017, October 11, Vancouver, Canada