Delay to surgery does not affect survival following osteoporotic femoral fractures
| Autor: | Nirav N. Shah, Steve McChesney, Elizabeth Bond, Stephen Nicol, Kit Brogan, Chris Gee, William Poole, Harold Akehurst |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Periprosthetic Guidelines as Topic Comorbidity Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans Femur 030212 general & internal medicine Geriatric Assessment Fracture type Aged Retrospective Studies General Environmental Science Aged 80 and over Fracture Healing 030222 orthopedics Hip fracture Retrospective review business.industry Mean age Recovery of Function Middle Aged medicine.disease United Kingdom Surgery Treatment Outcome Median time General Earth and Planetary Sciences Female Periprosthetic Fractures business Femoral Fractures Osteoporotic Fractures New Zealand |
| Zdroj: | Injury. 47:2294-2299 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2016.07.003 |
| Popis: | Aims Fragility femoral fractures occur in a similar group of patients to hip fractures but they are not routinely managed along standardised guidelines. This study looked specifically at whether delay to surgery has an impact on mortality and morbidity. Patients and methods An international, multi-centre retrospective review was carried including all patients over 60 years with fragility femoral fractures, including most periprosthetic fractures, between December 2008–2014. Results 243 patients met the inclusion criteria with mean follow-up 25 months. 197 (81%) were female with mean age 81 years. Median time to surgery was 2 days; 39% were operated on 48 h. 3- and 12-month mortality were 14% (95% CI: 9–18%) and 26% (20–31%) respectively. On Kaplan-Meier plotting, relationships were apparent between survival and sex, and ASA grade, but not delay to surgery or fracture type. Conclusion Fragility femoral fractures have equivalent mortality to hip fractures but we found no link between delay to surgery and mortality. We believe it is safe to delay surgery, within reason, whilst their acute and chronic medical problems are optimised. We believe this information will help develop guidelines similar to hip fracture pathways. |
| Databáze: | OpenAIRE |
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