title: Clinical outcomes and hospital length of stay in 2,756 elderly patients with hip fractures: a comparison of surgical and non-surgical management.
abstract: The purpose of this study was to compare the clinical outcomes of elderly hip fracture patients who received surgical treatment with those who received non-surgical treatment.
  
  
  
  This retrospective study involved 2,756 elderly patients with hip fractures who were admitted over a six-year period. The patients' biodata, complications, ambulatory status at discharge and length of hospital stay were obtained from the institution's hip fracture registry.
  
  
  
  Among the 2,756 hip fracture patients, 2,029 (73.6%) underwent surgical intervention, while 727 (26.4%) opted for non-surgical intervention. The complication rate among the patients who underwent surgical intervention was 6.6%, while that among the patients who underwent non-surgical intervention was 12.5% (p < 0.01). The mean length of hospital stay for the surgical and non-surgical hip fracture patients was 15.7 days and 22.4 days, respectively (p < 0.01).
  
  
  
  Surgical management of hip fractures among the elderly is associated with a lower complication rate, as well as a reduced length of hospital stay.
authors.affiliation: Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
authors.forename: Stephen Thong Soon
authors.initials: ST
authors.lastname: Tan
authors.affiliation: Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
authors.forename: Wei Ping Marcus
authors.initials: WP
authors.lastname: Tan
authors.affiliation: Casemix Unit, Tan Tock Seng Hospital, Singapore.
authors.forename: Josephine
authors.initials: J
authors.lastname: Jaipaul
authors.affiliation: Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
authors.forename: Siew Pang
authors.initials: SP
authors.lastname: Chan
authors.affiliation: Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
authors.forename: Sathappan S
authors.initials: SS
authors.lastname: Sathappan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005265:Femoral Neck Fractures; D006620:Hip Fractures / Q000150:complications / Q000401:mortality / Q000601:surgery* / Q000628:therapy*; D017052:Hospital Mortality; D006761:Hospitals; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000150:complications / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D012042:Registries; D012044:Regression Analysis; D012189:Retrospective Studies; D012846:Singapore / Q000453:epidemiology; D016896:Treatment Outcome
keywords: hip fractures; hospital length of stay; non-surgical intervention; postoperative outcomes; surgical intervention