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Comparative Study
. 2017 May;58(5):253-257.
doi: 10.11622/smedj.2016045. Epub 2016 Feb 26.

Clinical outcomes and hospital length of stay in 2,756 elderly patients with hip fractures: a comparison of surgical and non-surgical management

Stephen Thong Soon Tan  1 , Wei Ping Marcus Tan  2 , Josephine Jaipaul  3 , Siew Pang Chan  2 , Sathappan S Sathappan  1
Affiliations
Comparative Study

Clinical outcomes and hospital length of stay in 2,756 elderly patients with hip fractures: a comparison of surgical and non-surgical management

Stephen Thong Soon Tan et al. Singapore Med J. 2017 May.

Abstract

Introduction: The purpose of this study was to compare the clinical outcomes of elderly hip fracture patients who received surgical treatment with those who received non-surgical treatment.

Methods: This retrospective study involved 2,756 elderly patients with hip fractures who were admitted over a six-year period. The patients' biodata, complications, ambulatory status at discharge and length of hospital stay were obtained from the institution's hip fracture registry.

Results: Among the 2,756 hip fracture patients, 2,029 (73.6%) underwent surgical intervention, while 727 (26.4%) opted for non-surgical intervention. The complication rate among the patients who underwent surgical intervention was 6.6%, while that among the patients who underwent non-surgical intervention was 12.5% (p < 0.01). The mean length of hospital stay for the surgical and non-surgical hip fracture patients was 15.7 days and 22.4 days, respectively (p < 0.01).

Conclusion: Surgical management of hip fractures among the elderly is associated with a lower complication rate, as well as a reduced length of hospital stay.

Keywords: hip fractures; hospital length of stay; non-surgical intervention; postoperative outcomes; surgical intervention.

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Figures

Fig. 1
Fig. 1
Bar graph shows the comorbidity distribution of the patients with hip fractures (n = 2,756).
Fig. 2
Fig. 2
Flow chart shows the diagnoses and types of treatment of patients with hip fractures (n = 2,756).
Fig. 3
Fig. 3
Bar graph shows the complications among the patients who underwent surgical treatment (n = 2,029).
Fig. 4
Fig. 4
Bar graph shows complications among the patients who underwent non-surgical treatment (n = 727).
See this image and copyright information in PMC

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