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Comparative Study
. 2012 Dec;83(6):609-13.
doi: 10.3109/17453674.2012.747926. Epub 2012 Nov 11.

Is mortality after hip fracture associated with surgical delay or admission during weekends and public holidays? A retrospective study of 38,020 patients

Cecilie Laubjerg Daugaard  1 , Henrik L Jørgensen, Troels Riis, Jes B Lauritzen, Benn R Duus, Susanne van der Mark
Affiliations
Comparative Study

Is mortality after hip fracture associated with surgical delay or admission during weekends and public holidays? A retrospective study of 38,020 patients

Cecilie Laubjerg Daugaard et al. Acta Orthop. 2012 Dec.

Abstract

Background and purpose: Hip fractures are associated with high mortality, but the cause of this is still not entirely clear. We investigated the effect of surgical delay, weekends, holidays, and time of day admission on mortality in hip fracture patients.

Patients and methods: Using data from the Danish National Indicator Project, we identified 38,020 patients admitted from 2003 to 2010. Logistic regression analysis was used to study the association between sex, age, weekend or holiday admission, night-time admission, time to surgery, and ASA score on the one hand and mortality on the other.

Results: The risk of death in hospital increased with surgical delay (odds ratio (OR) = 1.3 per 24 h of delay), ASA score (OR (per point added) = 2.3), sex (OR for men 2.2), and age (OR (per 5 years) = 1.4). The mortality rate for patients admitted during weekends or public holidays, or at night, was similar to that found for those admitted during working days.

Interpretation: Minimizing surgical delay is the most important factor in reducing mortality in hip fracture patients.

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Figures

Figure 1.
Figure 1.
The selection process.
Figure 2.
Figure 2.
OR for in-hospital mortality related to five different variables for the 3 types of hip fractures. TTOP: time to operation; LOS: length of stay.
Figure 3.
Figure 3.
OR for 30-day mortality related to five different variables for the 3 types of hip fractures. TTOP: time to operation; LOS: length of stay.
See this image and copyright information in PMC

References

    1. Bell CM, Redelmeier DA. Mortality among patients admitted to hospitals on weekends as compared with weekdays. N Engl J Med. 2001;345(9):663–8. - PubMed
    1. Clarke MS, Wills RA, Bowman RV, Zimmerman PV, Fong KM, Coory MD, Yang IA. Exploratory study of the ‘weekend effect’ for acute medical admissions to public hospitals in Queensland. Australia. Intern Med J. 2010;40(11):777–83. - PubMed
    1. Crawford JR, Parker MJ. Seasonal variation of proximal femoral fractures in the United Kingdom. Injury. 2002;34(3):223–5. - PubMed
    1. Davie IT, MacRae WR, Malcolm-Smith NA. Anesthesia for the fractured hip. Anesth Analg. 1970;49:165–70. - PubMed
    1. Foss NB, Kehlet H. Short-term mortality in hip fracture patients admitted during weekends and holidays. Br J Anaesth. 2006;96(4):450–4. - PubMed

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