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Does time from fracture to surgery affect mortality and intraoperative medical complications for hip fracture patients? An observational study of 73,557 patients reported to the Norwegian Hip Fracture Register

The Bone & Joint Journal Sep 10, 2019

Leer-Salvesen S, et al. - Using data from the Norwegian Hip Fracture Register (NHFR) and the Norwegian Patient Registry (NPR), researchers examined mortality and risk of intraoperative medical complications depending on delay to hip fracture surgery. Between 2008 and 2017, a total of 83,727 hip fractures were reported to the NHFR. Excluded were pathological fractures, unspecified type of fractures or treatment, patients less than 50 years of age, unknown delay to surgery, and delays to surgery of greater than 4 days. Total delay (fracture to surgery, n = 38,754) and hospital delay (admission to surgery, n = 73,557) were studied. When the total delay was less than 48 hours, mortality remained unchanged. In order to decrease mortality and intraoperative complications, hospitals should operate on patients within 48 hours after a fracture. When hospital delay exceeded 24 hours, more intraoperative medical complications were reported.
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