title: Delayed hospitalization increases mortality in displaced femoral neck fracture patients.
abstract: OBJECTIVE
  Reports regarding the relationship between delayed surgery and mortality in femoral neck fracture patients are contradictory. We could not find any study in the literature investigating delayed arrival to hospital and delayed surgery as separate factors affecting mortality in femoral neck fracture patients, which was the purpose of our study.
  
  
  METHODS
  We analyzed 265 consecutive patients with displaced femoral neck fractures. We recorded the time period from trauma to admission, and to surgery, and correlated it to mortality during the first postoperative year.
  
  
  RESULTS
  We found that arrival within 6 hours had 0.4 times (CI 0.2-0.8) reduction of the risk of death within 1 year compared to those who arrived later, whereas delayed surgery after admission did not have a statistically significant effect on mortality.
  
  
  CONCLUSIONS
  Femoral neck fracture patients who arrived at hospital 6 hours or later after the trauma had increased mortality.
authors.affiliation: Department of Orthopedics, Kaunas Medical University, Kaunas, Lithuania, Sweden.
authors.forename: Arunas
authors.initials: A
authors.lastname: Vertelis
authors.forename: Otto
authors.initials: O
authors.lastname: Robertsson
authors.forename: Sarunas
authors.initials: S
authors.lastname: Tarasevicius
authors.forename: Hans
authors.initials: H
authors.lastname: Wingstrand
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D057210:Delayed Diagnosis; D005260:Female; D005265:Femoral Neck Fractures / Q000401:mortality* / Q000601:surgery; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D010343:Patient Admission; D012307:Risk Factors; D013997:Time Factors