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Is mortality after hip fracture associated with surgical delay or admission during weekends and public holidays?
- Source :
- Acta Orthopaedica; Dec2012, Vol. 83 Issue 6, p609-613, 5p, 1 Diagram, 3 Charts, 2 Graphs
- Publication Year :
- 2012
-
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. [ABSTRACT FROM AUTHOR]
- Subjects :
- AGE distribution
CHI-squared test
EPIDEMIOLOGY
BONE fractures
HIP joint injuries
HOLIDAYS
HOSPITALS
HOSPITAL admission & discharge
DEATH rate
PATIENTS
SEX distribution
T-test (Statistics)
TIME
U-statistics
LOGISTIC regression analysis
DATA analysis
RETROSPECTIVE studies
DATA analysis software
DESCRIPTIVE statistics
TREATMENT delay (Medicine)
Subjects
Details
- Language :
- English
- ISSN :
- 17453674
- Volume :
- 83
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Acta Orthopaedica
- Publication Type :
- Academic Journal
- Accession number :
- 83589943
- Full Text :
- https://doi.org/10.3109/17453674.2012.747926