Causes of Surgical Delay and Demographic Characteristics in Patients with Hip Fracture
Författare
Summary, in English
Background: Several studies analyze how surgical delay affects patients with hip fracture. The aim of this study was to
identify the causes of surgical delay and demographic characteristics in patients with hip fracture who had delays longer
than 24 hours from admission to hospital. Methods: Quantitative retrospective register study of 484 patients was consecutively
included during the period November 1, 2010 and October 31, 2011 in the University Hospital in Lund (Sweden).
Results: A frequency of 29.4% had a surgical delay longer than 24 hours. The main reasons for delays to surgery
were lack of theatre facilities (54%), medical unstable patient (16%) and anticoagulant treatment (10%). Of all patients,
69% (n = 332) were women and 31% (n = 151) were men. The mean age for women were 83.6 (CI 83 - 85) vs. 79 (CI
77 - 81) for men, respectively. The most common type of hip fracture was displaced cervical hip fracture (39%, n = 188)
with a majority of fractures in male patients. In total, women suffered hip fractures to a greater extent than men (69% vs.
31%, p = 0.016), but no relationship was found with respect to the fracture type and age (p = 0.358). Conclusion: The
main result demonstrated that delays longer than 24 hours were due to lack of theatre facilities. Further researches have
to be done in order to investigate whether lack of theatre facilities depends on improper operation planning and/or on
lack of medical staff.
identify the causes of surgical delay and demographic characteristics in patients with hip fracture who had delays longer
than 24 hours from admission to hospital. Methods: Quantitative retrospective register study of 484 patients was consecutively
included during the period November 1, 2010 and October 31, 2011 in the University Hospital in Lund (Sweden).
Results: A frequency of 29.4% had a surgical delay longer than 24 hours. The main reasons for delays to surgery
were lack of theatre facilities (54%), medical unstable patient (16%) and anticoagulant treatment (10%). Of all patients,
69% (n = 332) were women and 31% (n = 151) were men. The mean age for women were 83.6 (CI 83 - 85) vs. 79 (CI
77 - 81) for men, respectively. The most common type of hip fracture was displaced cervical hip fracture (39%, n = 188)
with a majority of fractures in male patients. In total, women suffered hip fractures to a greater extent than men (69% vs.
31%, p = 0.016), but no relationship was found with respect to the fracture type and age (p = 0.358). Conclusion: The
main result demonstrated that delays longer than 24 hours were due to lack of theatre facilities. Further researches have
to be done in order to investigate whether lack of theatre facilities depends on improper operation planning and/or on
lack of medical staff.
Avdelning/ar
Publiceringsår
2013
Språk
Engelska
Sidor
193-198
Publikation/Tidskrift/Serie
Open Journal of Orthopedics
Volym
3
Dokumenttyp
Artikel i tidskrift
Förlag
Scientific Research Publishing (SCIRP)
Ämne
- Orthopedics
Nyckelord
- Orthopedics
- Hip Fracture
- Surgical Delay
- Register Study
Status
Published
ISBN/ISSN/Övrigt
- ISSN: 2164-3008