Impact of delayed intervention on clinical outcomes following traumatic hip fracture in the elderly: A national analysis
Zachary Tran, Peter P. Hsiue, Chelsea S. Pan, Arjun Verma, Rhea Rahimtoola, Alexandra I. Stavrakis, Christopher Lee, Peyman Benharash
Abstract
The present study sought to evaluate clinical outcomes of delayed intervention following hip fractures. Adults (≥60 years) who underwent operative intervention for hip fracture following traumatic fall were identified using the 2008–2018 National Inpatient Sample. Patients were classified as Delayed if repair was >48 h after admission and otherwise considered Early. Of an estimated 1,942,905 patients, 148,441 (7.6%) were Delayed. Delayed more commonly suffered neck fractures, underwent hip arthroplasty and were managed at low-volume hospitals. After adjustment, delayed operation was associated with greater likelihood of mortality (adjusted odds ratio (AOR): 1.28, 95% CI: 1.17–1.40), studied complications, hospitalization duration and costs.