Association between time to surgery and 90-day mortality after hip fracture: A retrospective cohort study of 1734 cases

2018 ◽  
Vol 23 (6) ◽  
pp. 987-991
Author(s):  
Momotaro Kawai ◽  
Atsushi Tanji ◽  
Takayuki Nishijima ◽  
Koichi Tateyama ◽  
Yuhei Yoda ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Time To Surgery

scholarly journals Early Surgical Fixation for Hip Fractures in Patients Taking Direct Oral Anticoagulation: A Retrospective Cohort Study

2020 ◽  
Vol 11 ◽  
pp. 215145932094485
Author(s):  
Kieran King ◽  
Michael Polischuk ◽  
Genni Lynch ◽  
Anthony Gergis ◽  
Ashwin Rajesh ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Oral Anticoagulants ◽  
Hospital Treatment ◽  
Time To Surgery ◽  
Femur Fractures ◽  
Tertiary Teaching ◽  
Significant Difference

Introduction: Currently, evidence-based guidelines regarding delay to theatre for urgent surgical intervention in patients taking direct oral anticoagulants (DOACs) are lacking. Therefore, this study aims to investigate the effect of DOACs on patient outcomes receiving early (<48 hours) versus delayed (>48 hours) surgery for neck of femur fractures. Methods: A retrospective cohort study was conducted at a tertiary teaching hospital. Treatment groups were hip fracture patients taking DOACs on admission and receiving surgery in <48 hours (n = 17) and >48 hours (n = 11). A control cohort of hip fracture patients not taking DOACs (n = 56) was matched to the <48 hours treatment group for comparison. Patient demographics were recorded and key outcome measures included perioperative hemoglobin levels, transfusion rates, time to surgery, 90-day mortality, hematoma rates, and length of stay in hospital. Results: There was no significant difference in perioperative hemoglobin levels, transfusion rates, or hematoma between groups. Patients taking DOACs and receiving early surgery had significantly longer time to surgery compared to the non-DOAC control (32.21 ± 7.83 vs 25.98 ± 11.4, P = .01). No deaths were recorded in the early DOAC group at 90 days, compared to 4 (36%) in the late DOAC group ( P = .04). Discussion and Conclusions: Our study suggests hip fracture patients taking DOACs on admission is not a reason to delay surgery. However, given the lack of literature in this area, further prospective research with larger patient numbers is required to definitively guide clinical practice.

scholarly journals Characteristics and Outcomes of Hip Fracture Patients Hospitalized in an Orthogeriatric Unit Versus an Orthopedic Department: A Retrospective Cohort Study

2021 ◽  
Vol 12 ◽  
pp. 215145932098629 ◽  
Author(s):  
Yulia Bugaevsky ◽  
Yochai Levy ◽  
Avital Hershkovitz ◽  
Irena Ocheretny ◽  
Adaya Nissenholtz ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Functional Independence ◽  
Functional Improvement ◽  
Orthopedic Department ◽  
Successful Recovery

Introduction: Hip fractures are a significant health risk in older adults and a major cause of morbidity, functional decline and mortality. Our aim was to compare clinical outcomes of older patients hospitalized in an ortho-geriatric (OG) unit to those hospitalized in an orthopedic department (OD) for surgical treatment of a hip fracture. Methods: A retrospective cohort study of hip fractured patients hospitalized between 2015-2016 in a single tertiary university-affiliated medical center. Included were patients aged 65 and older who had undergone hip fracture surgery and were admitted to either a geriatric or orthopedic ward. Results: 441 patients met the inclusion criteria (195 in the OG unit, 246 in the OD); 257 were transferred to an affiliated geriatric center hospital (107 from the OG unit and 127 from the OD) for rehabilitation. Patients in the OG unit were older, more cognitively and functionally impaired and with more comorbidities. The 1-year mortality rate was significantly lower in the OD group (OR 0.32, CI 95% 0.19-0.53, p < 0.001), however, after propensity matching, the 30-day and 1 year mortality rates were similar in both groups. No difference was found in the rehabilitation length of stay between the groups. The functional independence measure improvement was similar in both groups, with a non-significant trend toward better functional improvement among OG unit patients. Conclusions: Despite the higher complexity of patients, worse baseline functional capacity in the OG unit, improvement after rehabilitation was similar in both groups. These results demonstrate the advantages of the OG unit in treating and stabilizing frail older adults, thus maximizing their chances for a successful recovery after hip fractures. Level of Evidence: Level IV

Mortality in British hip fracture patients, 2000–2010: A population-based retrospective cohort study

Bone ◽  
2014 ◽  
Vol 66 ◽  
pp. 171-177 ◽  
Author(s):  
Corinne Klop ◽  
Paco M.J. Welsing ◽  
Cyrus Cooper ◽  
Nicholas C. Harvey ◽  
Petra J.M. Elders ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Population Based

Bisphosphonate Use After Hip Fracture in Older Adults: A Nationwide Retrospective Cohort Study

2017 ◽  
Vol 18 (6) ◽  
pp. 515-521 ◽  
Author(s):  
Peter Nordström ◽  
Annika Toots ◽  
Yngve Gustafson ◽  
Karl-Göran Thorngren ◽  
Ami Hommel ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Hip Fracture ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort

scholarly journals Beta-Blocker Therapy Is Associated With Increased 1-Year Survival After Hip Fracture Surgery: A Retrospective Cohort Study

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ahmad Mohammad Ismail ◽  
Rebecka Ahl ◽  
Maximilian Peter Forssten ◽  
Yang Cao ◽  
Per Wretenberg ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Beta Blocker ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Blocker Therapy ◽  
Beta Blocker Therapy ◽  
Hip Fracture Surgery ◽  
Fracture Surgery
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