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. 2002 Jun;72(6):405-7.
doi: 10.1046/j.1445-2197.2002.02425.x.

Influence of preoperative medical status and delay to surgery on death following a hip fracture

Julian Stoddart  1 , Geoffrey Horne, Peter Devane
Affiliations

Influence of preoperative medical status and delay to surgery on death following a hip fracture

Julian Stoddart et al. ANZ J Surg. 2002 Jun.

Abstract

Background: A retrospective study of 138 patients with fractured hips was undertaken to determine if a delay to surgery beyond 24 h influenced 1-year mortality. In particular, the results of the subgroup of patients who were in the American Society of Anesthesiologists (ASA) Class 3 or 4 were considered.

Methods: Patients were found using ICD-9 database information. One-year mortality data was collected from Births, Deaths and Marriages -- the New Zealand government agency that collects and stores statistics on these events.

Results: The 1-year mortality rate was 17.4%. Age, operation type and time to surgery did not significantly affect 1-year mortality. American Society of Anesthesiologists' Class 1 and 2 patients had a significantly lower 1-year mortality (5.3%) than ASA Class 3 and 4 patients (22.4%) (P = 0.02).

Conclusion: Time to surgery did not significantly affect 1-year mortality within each ASA Class.

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Comment in

  • Not another 'NOF'!
    Nade S. Nade S. ANZ J Surg. 2002 Jun;72(6):383. ANZ J Surg. 2002. PMID: 12121151 No abstract available.
  • Hip fractures and delay to surgery.
    Hargreaves IC. Hargreaves IC. ANZ J Surg. 2003 Mar;73(3):165. doi: 10.1046/j.1445-2197.2003.02657.x. ANZ J Surg. 2003. PMID: 12608986 No abstract available.