The effect of time to surgery in neck of femur fracture patients with ASA Grade of 3 and above
| Autor: | Stefan Lazic, Al-Achraf Khoriati, Najab Ellahee, Ritesh Sharma, Jack Navein, Hiba Khan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Hip fracture Femur fracture Hip Fractures business.industry Arthroplasty Replacement Hip Mortality rate Operative Time medicine.disease Femoral Neck Fractures Surgery 03 medical and health sciences Early surgery 0302 clinical medicine medicine Time to surgery Humans Orthopedics and Sports Medicine 030212 general & internal medicine business Retrospective Studies |
| Zdroj: | HIP International. 32:276-280 |
| ISSN: | 1724-6067 1120-7000 |
| Popis: | Introduction: Hip fractures are an important cause of morbidity and mortality. Early surgery has been shown to reduce mortality rates and surgical complications. The American Society of Anesthesiologists (ASA) grade is a widely used tool to assess preoperative health of patients. This study aims to assess is whether delay in surgical time has a greater impact on the mortality rates for high risk patients. Method: Retrospective study using the National Hip Fracture Database (NHFD) of 4883 neck of femur fracture patients. Time of surgery, ASA grade, reason for delay and mortality at 120 days was analysed, using statistical analysis software. Results: There was a significant increase in mortality ( p Discussion: Surgical delay beyond the 36-hour target for surgery has a greater impact on mortality for patients with higher ASA grades. The effect is most profound in the high-risk ASA grade 5 patients with delayed patients showing a 37.5% increase in mortality in this group. This would imply that by prioritising this higher risk group and operating on it within a specific time frame there would be a subsequent fall in mortality associated with neck of femur fractures. |
| Databáze: | OpenAIRE |
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