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Hip fracture surgery performed out-of-hours–A systematic review and meta-analysis

Injury Mar 03, 2021

Kim RG, et al. - A systematic review and meta-analysis were conducted to ascertain the mortality risk for hip fracture surgery performed in-hours compared to out-of-hours (OH), and on weekdays compared to weekends (WE). Researchers performed a systematic search of the literature in the databases of MEDLINE, PubMed, Embase, and Cochrane from the dates of inception. They applied relative risk for dichotomous outcomes, while the mean difference was used for continuous variables, with 95% confidence intervals. Alpha was set at 0.05. For the analysis, they enrolled a sum of 13 studies with 177,090 patients. The outcomes of this study revealed that conducting hip fracture surgery OH or on the WE does not seem to increase the risk of 30-day or inpatient mortality or post-operative complications. In addition, consideration should be given to conducting hip fracture surgery out-of-hours to meet national guidelines (< 48 hours).

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