Journal ArticleDOI
Early and ultra-early surgery in hip fracture patients improves survival.
C.E. Uzoigwe,H.G.F. Burnand,C.L. Cheesman,Douglas Osaro Aghedo,Murtuza Faizi,R. G. Middleton +5 more
TLDR
Examining whether surgery before a 36h watershed improves survival and the effect of various parameters on in-patient mortality found that ultra-early surgery (within 12h) reduces risk of in-hospital mortality andeditious surgery is associated with improved patient survival.Abstract:
Background Hip fracture is a common injury with associated high mortality. Recent drives by the Department of Health have sought to prioritise these patients’ care. In April 2010, the Best Practice Tariff was introduced in England and Wales. This offers financial incentives to institutions that provide holistic care and surgery within 36 h for hip fracture patients. The England and Wales National Institute for Health and Clinical Excellence (NICE) published its first guidance on hip fracture management in June 2011, and emphasised the need for surgery on the day or day after admission. In spite of the emphasis placed on this injury, the predictors of in-hospital mortality remain ill-defined. In particular the effect of the timing of surgery remains contentious. Objective To address the issues raised by NICE around surgical timing and examine whether surgery before a 36 h watershed improves survival. In addition, to examine survival outcomes for each 12 h watershed following admission. Materials and methods Prospectively collected data on 2056 patients presenting to our unit with hip fractures between February 2008 and May 2011 were retrospectively reviewed. Multivariate regression analysis was used to correct for confounders, and so determine the effect of various parameters on in-patient mortality. Results Age ( p p p p p p p Conclusions Expeditious surgery is associated with improved patient survival. Other predictors of in-hospital mortality include age, gender, in-hospital fracture and ASA-grade. Ultra-early surgery (within 12 h) reduces risk of in-hospital mortality.read more
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Journal ArticleDOI
Association Between Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery.
Daniel Pincus,Daniel Pincus,Bheeshma Ravi,Bheeshma Ravi,Bheeshma Ravi,David Wasserstein,David Wasserstein,Anjie Huang,J. Michael Paterson,J. Michael Paterson,Avery B. Nathens,Hans J. Kreder,Richard Jenkinson,Richard Jenkinson,Walter P. Wodchis,Walter P. Wodchis,Walter P. Wodchis +16 more
TL;DR: Increased wait time was associated with a greater risk of 30-day mortality and other complications and a wait time of 24 hours may represent a threshold defining higher risk.
Journal ArticleDOI
Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial
Flávia Kessler Borges,Mohit Bhandari,Ernesto Guerra-Farfán,Ameen Patel,Alben Sigamani,Masood Umer,Maria Tiboni,Maria del Mar Villar-Casares,Vikas Tandon,Jordi Tomas-Hernandez,Jordi Teixidor-Serra,Victoria Avram,Mitchell Winemaker,Mmampapatla Thomas Ramokgopa,Wojciech Szczeklik,Giovanni Landoni,Chew Yin Wang,Dilshad Begum,John Neary,Anthony Adili,Parag Sancheti,Abdel-Rahman Lawendy,Mariano Balaguer-Castro,Paweł Ślęczka,Richard Jenkinson,Aamer Nabi Nur,Gavin C A Wood,Robert J. Feibel,Stephen John McMahon,Alen Sigamani,Ekaterine Popova,Bruce M Biccard,Iain K. Moppett,Patrice Forget,Paul Landais,Michael McGillion,Jessica Vincent,Kumar Balasubramanian,Valerie Harvey,Yaiza Garcia-Sanchez,Shirley Pettit,Leslie Gauthier,Gordon H. Guyatt,David Conen,Amit X. Garg,Shrikant I. Bangdiwala,Emilie P. Belley-Côté,Maura Marcucci,Andre Lamy,Richard P. Whitlock,Yannick Le Manach,Dean Fergusson,Salim Yusuf,Philip J. Devereaux,Laurent Veevaete,Bernard le Polain de Waroux,Patricia Lavand'homme,Olivier Cornu,Karim Tribak,Jean Cyr Yombi,Nassim Touil,Maike Reul,Jigme Tshering Bhutia,Carol Clinckaert,Dirk De Clippeleir,Justin de Beer,Diane Simpson,Andrew Worster,Kim Alvarado,Krysten Gregus,Kelly H Lawrence,Darryl P. Leong,Philip Joseph,Patrick Magloire,Benjamin Deheshi,Stuart Bisland,Thomas J Wood,Daniel M. Tushinski,David A. Wilson,Clive Kearon,David Cowan,Vickas Khanna,Amna Zaki,J. Farrell,Anne Marie MacDonald,Steven Cw Wong,Arsha Karbassi,Douglas Wright,Harsha Shanthanna,Ryan Coughlin,Moin Khan,Spencer Wikkerink,Faraaz A Quraishi,Waleed Kishta,Emil H. Schemitsch,Timothy A. Carey,Mark D Macleod,David W. Sanders,Edward M. Vasarhelyi,Debra Bartley,George K. Dresser,Christina Tieszer,Steven Shadowitz,Jacques S. Lee,Stephen Choi,Hans J. Kreder,Markku T Nousiainen,Monica Kunz,Ravianne Tuazon,Mopina Shrikumar,Bheeshma Ravi,David Wasserstein,David Stephen,Diane Nam,Patrick Henry,Stephen M Mann,Melanie T Jaeger,Marco L.A. Sivilotti,Christopher A. Smith,Christopher C Frank,Heather Grant,Leone Ploeg,Jeff Yach,Mark Harrison,Aaron R. Campbell,Ryan T. Bicknell,Davide D. Bardana,Katie McIlquham,Catherine Gallant,Samantha Halman,Venkatesh Thiruganasambandamoorth,Sara Ruggiero,William J Hadden,Brian P-J Chen,Stephanie A Coupal,Lisa M McLean,Hemant R Shirali,Syed Haider,Crystal A Smith,Evan Watts,David J Santone,Kevin Koo,Allan J Yee,Ademilola N Oyenubi,Aaron Nauth,Emil H. Schemitsch,Timothy R. Daniels,S Ward,Jeremy A. Hall,Henry Ahn,Daniel B. Whelan,Amit Atrey,Amir Khoshbin,David Puskas,Kurt P Droll,Claude Cullinan,Jubin Payendeh,Tina Lefrancois,Lise Mozzon,Travis Marion,Michael J. Jacka,James Greene,Matthew Rg Menon,Robert Stiegelmahr,Derek Dillane,Marleen Irwin,Lauren A Beaupre,Chad P. Coles,Kelly Trask,Shelley MacDonald,J Andrew I Trenholm,William M. Oxner,C. Glen Richardson,Niloofar Dehghan,Mehdi Sadoughi,Achal Sharma,Neil J White,Loretta Olivieri,Stephen B Hunt,Thomas R Turgeon,Eric R Bohm,Sarah Tran,Stephen M Giilck,Tom Hupel,Pierre Guy,Peter J O'Brien,Andrew Duncan,Gordon A Crawford,Junlin Zhou,Yanrui Zhao,Yang Liu,Lei Shan,Anshi Wu,Juan Manuel Muñoz,Philippe Chaudier,Marion Douplat,Michel Henri Fessy,Vincent Piriou,Lucie Louboutin,Jean Stephane David,Arnaud Friggeri,Sebastien Beroud,Jean Marie Fayet,Frankie Leung,Christian Fang,Dennis King Hang Yee,Parag Sancheti,Chetan Vijay Pradhan,Atul Patil,Chetan Prabhakar Puram,Madhav Pandurang Borate,Kiran Bhalchandra Kudrimoti,Bharati Anil Adhye,Himanshu Vijaykumar Dongre,Bobby John,Valsamma Abraham,Ritesh Arvind Pandey,Arti Rajkumar,P. George,Manesh Stephen,Nitheesh Chandran,Mohammed Ashraf,AM Georgekutty,Ahamad Shaheel Sulthan,S Adinarayanan,Deep Sharma,Satish Prasad Barnawal,Srinivasan Swaminathan,Prasanna Udupi Bidkar,Sandeep Kumar Mishra,Jagdish Menon,Niranjan M,Varghese Zachariah K,Santosh Angad Hiremath,Madhusudhan Nc,Abhijit Jawali,Kingsly Robert Gnanadurai,Carolin Elizabeth George,Tatarao Maddipati,Mary Kp Kp,Vivek Sharma,Kamran Farooque,Rajesh Malhotra,Samarth Mittal,Chavi Sawhney,Babita Gupta,Purva Mathur,Shivanand Gamangati,Vijaylaxmi Tripathy,Prem Haridas Menon,Mandeep S Dhillon,Devendra K Chouhan,Sharanu Patil,Ravi Narayan,Purushotham Lal,Prashanth Nabhirajappa Bilchod,Surya Udai Singh,Uttam Vaidya Gattu,Ravi Prabhakar Dashputra,Prashant Vitthal Rahate,Maurizio Turiel,Giuseppe De Blasio,Riccardo Accetta,Paolo Perazzo,Daniele Stella,Marika Bonadies,Chiara Colombo,Stefania Fozzato,Fabio Pino,Ilaria Morelli,Eleonora Colnaghi,Vincenzo Salini,Giuseppe Denaro,Luigi Beretta,Giacomo Placella,Giuseppe Giardina,Mirko Binda,Anna Marcato,Luca Guzzetti,Fabio Piccirillo,Maurizio Cecconi,Hui Min Khor,Hou Yee Lai,CS Kumar,KH Chee,Pui San Loh,Kit Mun Tan,Simmrat Singh,Li Lian Foo,Komella Prakasam,Sook Hui Chaw,Meng-Li Lee,Joanne Hl Ngim,Huck Wee Boon,Im Im Chin,Ydo V. Kleinlugtenbelt,Ellie Bm Landman,Elvira R Flikweert,Herbert W Roerdink,Roy B.G. Brokelman,Hannie F Elskamp-Meijerman,Maarten R Horst,Jan-Hein Mg Cobben,Anila Anjum,Pervaiz Mehmood Hashmi,Tashfeen Ahmed,Haroon Rashid,Mujahid Jamil Khattak,Rizwan Haroon Rashid,Riaz Hussain Lakdawala,Shahryar Noordin,Naveed Muhammed Juman,Robyna Irshad Khan,Muhammad Riaz,Syedah Saira Bokhari,Ayesha Almas,Hussain Wahab,Arif Ali,Hammad Naqi Khan,Eraj Khurshid Khan,Kholood Abid Janjua,Sajjad Hassan Orakzai,Abdus Salam Khan,Khawaja Junaid Mustafa,Mian Amjad Sohail,Muhammad Umar,Siddra Ahmed Khan,Muhammad Ashraf,Muhammad Kashif Khan,Muhammad Shiraz,Ahmad Furgan,Piotr Dąbek,Adam Kumoń,Wojciech Satora,Wojciech Ambroży,Mariusz Święch,Jacek Rycombel,Adrian Grzelak,Jaroslaw Gucwa,Waldemar Machala,Mmampapatla Thomas Ramokgopa,Gregory Bodley Firth,Mwalimu Karera,Maria Fourtounas,Virsen Singh,Anna Grisillo Biscardi,Muhammad Nasir Iqbal,Ryan Jonathan Campbell,Matimba Lenny Maluleke,Carien Moller,Lerato Nhlapo,Sithombo Maqungo,Margot Flint,Marcin B Nejthardt,Sean Chetty,Rubendren Naidoo,Miriam Garrido Clua,Vicente Molero-García,Joan Minguell-Monyart,Jordi Selga Marsa,Juan Antonio Porcel-Vazquez,Jose-Vicente Andres-Peiro,Marc Aguilar,Jaume Mestre-Torres,Maria J. Colomina,Patricia Guilabert,M Luisa Paños Gozalo,Luis Abarca,Nuria Martin,Gemma Usua,Pedro Martinez-Ripol,MA Gonzalez Posada,Pilar Lalueza-Broto,Judith Sanchez-Raya,Jorge Nuñez Camarena,Antoni Fraguas-Castany,P. Torner,Monsant Jornet-Gibert,Jorge Serrano-Sanz,Jaume Cámara-Cabrera,Mònica Salomó-Domènech,Christian Yela-Verdú,Anna Peig-Font,Laura Ricol,Anna Carreras-Castañer,Luis Martínez-Sañudo,Susana Herranz,Carlos Feijoo-Massó,Mònica Sianes-Gallén,Pablo Castillón,Martí Bernaus,Saioa Quintas,Olga Gómez,Jordi Salvador,Javiera Abarca,Cristina Estrada,Marga Novellas,Mercè Torra,Alfred Dealbert,Oscar Macho,Alexia Ivanov,Esther Valldosera,Marta Arroyo,Borja Pey,Antoni Yuste,Llorenç Mateo,Julio De Caso,Rafael Anaya,JL Higa-Sansone,Angelica Millan,Victoria Baños,Sergio Herrera-Mateo,Héctor J. Aguado,Gonzalo Martinez-Municio,Ricardo León,Silvia Santiago-Maniega,Ana Zabalza,Gregorio Labrador,Enrique Guerado,Encarnacion Cruz,Juan Ramon Cano,Jose Manuel Bogallo,Paphon Sa-ngasoongsong,Noratep Kulachote,Norachart Sirisreetreerux,Nachapan Pengrung,Theerawat Chalacheewa,Vanlapa Arnuntasupakul,Teerapat Yingchoncharoen,Bundit Naratreekoon,Miriam Adel Kadry,Surendini Thayaparan,Ihab Abdlaziz,A. Aframian,Arjuna Imbuldeniya,Souad Bentoumi,Sherif Omran,Marcela P. Vizcaychipi,Patricia Correia,Shashank Patil,Kevin Haire,Amy Se Mayor,Sally Dillingham,Laura Nicholson,Mohamed Elnaggar,Joby John,Shashi Kumar Nanjayan,Martyn J. Parker,Susan O'Sullivan,Meir Marmor,Amir Matityahu,Robert Trigg McClellan,Curt Comstock,Anthony Ding,Paul Toogood,Gerard P. Slobogean,K. J. Joseph,Robert V O'Toole,Marcus F. Sciadini,Scott P Ryan,Molly E Clark,Charles Cassidy,Konstantin Balonov,Sergio D. Bergese,Laura S Phieffer,Alicia A Gonzalez Zacarias,Andrew J. Marcantonio,Sanela Dragic-Taylor,Chelsea Maxwell,Sarah Molnar,Jennifer R Wells,Sandra N Ofori,Stephen Su Yang,Michael K Wang,Emmanuelle Duceppe,Jessica Spence,Javiera P Vasquez,Francesc Marcano-Fernández,Hyungjoo Ham,Carlos Prada,Terence Ch Yung,Isidro Sanz Pérez,Michael J Bosch,Michael R Prystajecky,Chinmoy Chowdhury,James S. Khan,Steffan F Stella,Behrouz Heidary,Allen Tran,Katarzyna Wawrzycka-Adamczyk,Yu Chiao Peter Chen,Aránzazu González-Osuna,Grzegorz Biedroń,Anna Włudarczyk,Marco Lefebvre,Jaclyn A Ernst,Bas Staffhorst,Jason D Woodfine,Emad M Alwafi,Marko Mrkobrada,Simon Parlow,Robin S. Roberts,Finlay A. McAlister,David L. Sackett,James G. Wright +504 more
TL;DR: Among patients with a hip fracture, accelerated surgery did not significantly lower the risk of mortality or a composite of major complications compared with standard care.
Journal ArticleDOI
Time to Surgery Is Associated with Thirty-Day and Ninety-Day Mortality After Proximal Femoral Fracture: A Retrospective Observational Study on Prospectively Collected Data from the Danish Fracture Database Collaborators.
TL;DR: A surgical delay of more than twelve hours significantly increased the adjusted risk of thirty-day mortality and a surgical delay more than twenty-four hours significantlyincreased theadjusted risk of ninety- day mortality.
Journal ArticleDOI
Epidemiology, treatment and mortality of trochanteric and subtrochanteric hip fractures: data from the Swedish fracture register.
TL;DR: Safety measures to prevent fall at elderly patient’s accommodation might be a way to reduce the number of trochanteric and subtrochanTERic hip fractures and surgery as soon as possible without delay should be considered to reduce that rate.
Journal ArticleDOI
Delay in Hip Fracture Surgery: An Analysis of Patient-Specific and Hospital-Specific Risk Factors.
TL;DR: Surgical delay in hip fracture care contributes to patient morbidity and mortality, and a variety of patient and hospital characteristics seem to contribute to surgical delay and point to important health care disparities.
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