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- Title
Prolonged pre-operative hospital stay as a predictive factor for early outcomes and mortality after geriatric hip fracture surgery: a single institution open prospective cohort study.
- Authors
Tulic, Goran; Dubljanin-Raspopovic, Emilija; Tomanovic-Vujadinovic, Sanja; Sopta, Jelena; Todorovic, Aleksandar; Manojlovic, Radovan
- Abstract
<bold>Introduction: </bold>The aim of this open prospective cohort study was to determine if a prolonged pre-operative hospital stay is a true predictor of higher morbidity or mortality in geriatric patients with hip fractures.<bold>Materials and Methods: </bold>We analysed early outcome parameters, such as functional independence measure (FIM), at discharge and four months post-operatively, peri-operative nonsurgical complications, intra-hospital and one year mortality compared with prolonged pre-operative hospital stay in 308 patients from a continuous cohort of 344.<bold>Results: </bold>Average pre-operative stay was 8.39 ± 5.80 days. Delaying surgery for > 72 hours was independently predictive for general complications and lower motor FIM gain at four months. All findings worsen progressively after the fifth day of delay. Pre-operative period was not found to be an independent predictor of mortality.<bold>Conclusion: </bold>In all observed outcome parameters except mortality, pre-operative delay > 72 hours was shown to be a true predictive factor.
- Subjects
MORTALITY; HIP surgery; GERIATRICS; FUNCTIONAL independence measure; COHORT analysis
- Publication
International Orthopaedics, 2018, Vol 42, Issue 1, p25
- ISSN
0341-2695
- Publication type
journal article
- DOI
10.1007/s00264-017-3643-7