The Influence of Timing of Surgery on Postoperative Length of Hospital Stay in Closed Ankle Fractures.

Autor:	Mannan M; Trauma and Orthopaedics, Ghurki Trust Teaching Hospital, Lahore, PAK.; Trauma and Orthopaedics, Sheikh Zayed Medical College and Hospital, Rahim Yar Khan, PAK.; Orthopaedic Surgery, University Hospital Birmingham, Birmingham, GBR., Ghauri AU; Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.; Trauma and Orthopaedics, Benzair Bhutto Hospital (BBH), Rawalpindi, PAK., Karim F; Trauma and Orthopaedics, Ghurki Trust Teaching Hospital, Lahore, PAK.; Trauma and Orthopaedics, University Hospital Birmingham, Birmingham, GBR., Hafeez U; Trauma and Orthopaedics, University Hospital Birmingham NHS Foundation Trust, Birmingham, GBR., Khalil S; Trauma and Orthopaedics, Ghurki Trust Teaching Hospital, Lahore, PAK.; Trauma and Orthopaedics, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Nov 14; Vol. 16 (11), pp. e73692. Date of Electronic Publication: 2024 Nov 14 (Print Publication: 2024).
DOI:	10.7759/cureus.73692
Abstrakt:	Background Ankle fractures are prevalent lower limb injuries that often necessitate surgical intervention to restore joint stability and functionality. Delays in surgical management can extend hospital stays and elevate the risk of complications. This study aims to evaluate the effect of surgical timing on the postoperative length of hospital stay in patients with closed ankle fractures managed through open reduction and internal fixation (ORIF). Objective The objective of this study was to determine whether early surgical intervention (within eight hours of injury) reduces the mean postoperative length of hospital stay compared to delayed surgery (after eight hours) in patients with closed ankle fractures undergoing open reduction and internal fixation (ORIF). Methods A retrospective cohort study was conducted over six months, from February 26, 2021, to August 26, 2021, involving 80 patients with closed ankle fractures treated at the Orthopaedic Surgery Department of Benazir Bhutto Hospital, Rawalpindi. Patients were categorized into two cohorts based on the time elapsed between injury and surgical intervention: early surgery (≤8 hours, n=43) and late surgery (>8 hours, n=37). The primary outcome measured was the length of hospital stay following ORIF. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 23 (IBM Corp., Armonk, NY. US). Independent sample t-tests, chi-square tests, and analysis of variance (ANOVA) were employed to assess differences between cohorts, with a p-value of less than 0.05 considered statistically significant. Results The mean age of the patients was 43.90 ± 14.64 years, comprising 58 (72.5%) males and 22 (27.5%) females. The overall mean length of hospital stay was 2.67 ± 0.87 days. Patients who underwent late surgery had a significantly longer hospital stay (mean 3.04 ± 0.80 days, n=37) compared to those treated early (mean 2.36 ± 0.82 days, n=43), with a p-value of <0.001. The stratified analysis revealed similar trends across various subgroups, including age and gender. Conclusion This retrospective cohort study concludes that delayed surgical management of closed ankle fractures is associated with a longer hospital stay compared to early intervention. These findings advocate for prompt surgical treatment to enhance patient outcomes by reducing postoperative hospitalization durations. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Benazir Bhutto Hospital, Rawalpindi issued approval 06/IRB/BBH/2021 (21 January 2021). Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Mannan et al.)
Databáze:	MEDLINE
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