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The influence of time to surgery on mortality after a hip fracture

Acta Anaesthesiologica Scandinavica Oct 31, 2019

Kristiansson J, et al. - Researchers gathered data of acute hip fracture (AHF)-patients from January 2007 through December 2016, to determine the link between time-to-surgery and 30-day mortality in this retrospective analysis. Age, gender, ASA physical status classification, surgical method (prosthesis or osteosynthesis), time-to-surgery, and 30-day mortality were the variables that were examined. In this study including 9,270 patients, mean time-to-surgery and overall 30-day mortality were 19.4 hours and 7.6%, respectively. Findings revealed increased mortality in AHF-patients in relation to a time-to-surgery exceeding 39-48 hours. No increased mortality was observed in patients with surgeries done before 39-48 hours and this time may, in some patients, be used for optimisation before surgery even if time-to-surgery exceeds 24 hours.
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