Acta Chir Orthop Traumatol Cech. 2021; 88(1):28-34 | DOI: 10.55095/achot2021/005
Causes for Delay to Surgery in Hip Fractures and How It Impacts on Mortality: a Single Level 1 Trauma Center ExperienceOriginal papers
- Division of Surgery, Department of Traumatology, University Medical Centre, Ljubljana, Slovenia
PURPOSE OF THE STUDY:
The increasing number of hip fractures puts enormous demand on our level 1 trauma centre. Because we have to synchronize hip fracture treatment with all other injuries delays to surgery can occur. In this study, we analysed the reasons for delay to surgery and how it impacts on mortality of hip fracture patients in our institution.
MATERIAL AND METHODS:
We retrospectively studied 641 patients operated for hip fractures in one year period. Investigated characteristics were: age, gender, American Society of Anaesthesiologists score (ASA), time of hospital admission, time of surgery, type of surgery, anticoagulant therapy (ACT) and non-routine pre-operative tests (NRPT). Trochanteric (TF) and femoral neck fractures (FNF) were analysed separately. The surgery in first 48 hours was considered early. The time of death was obtained from the federal database. Univariate and multivariable analysis were performed. P-values
Keywords: trochanteric fracture, femoral neck fracture, timing, mortality
Published: February 15, 2021 Show citation
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