Mortality after hip fracture: results of operation within 12 h of admission.
This retrospective study was undertaken to evaluate the mortality and morbidity of patients undergoing hip fracture surgery within 12 h of admission, compared with surgery more than 12 h after admission, the patients had no acute medical conditions that required preoperative treatment. Mortality rates were based on survival of the patients up to 1 year after surgery. For patients with fractures of the femoral neck, and in whom surgery was performed within 12 hours of admission, the mortality rate was significantly lower from 5 months after the operation. Time of surgery did not influence the mortality of patients with trochanteric fractures. It is suggested that a fractured neck of the femur in an otherwise fit elderly patient should be regarded as a surgical emergency.
Bredahl
C
C
Department of Anaesthesia, Aalborg City and County Hospital, Denmark.
Nyholm
B
B
Hindsholm
K B
KB
Mortensen
J S
JS
Olesen
A S
AS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003718:Denmark / Q000453:epidemiology; D005069:Evaluation Studies as Topic; D005260:Female; D005265:Femoral Neck Fractures / Q000401:mortality / Q000601:surgery; D006620:Hip Fractures / Q000401:mortality* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D017064:Process Assessment, Health Care; D012189:Retrospective Studies; D013997:Time Factors