Surgical outcome of daytime and out-of-hours surgery for elderly patients with hip fracture
| Autor: | Simon Kh Chow, Nelson L.S. Tang, YM Chan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Personnel Staffing and Scheduling 03 medical and health sciences 0302 clinical medicine Out of hours Postoperative Complications After-Hours Care 030202 anesthesiology medicine Humans 030212 general & internal medicine Aged Retrospective Studies Aged 80 and over Hip fracture Surgical complication business.industry Hip Fractures Mortality rate Surgical delay Retrospective cohort study General Medicine medicine.disease Surgery Treatment Outcome Homogeneous Hong Kong Female Emergencies business Surgical incision |
| Zdroj: | Hong Kong medical journal = Xianggang yi xue za zhi. 24(1) |
| ISSN: | 1024-2708 |
| Popis: | Introduction Surgery for hip fracture may be performed out-of-hours to avoid surgical delay. There is, however, a perception that this may constitute less-than-ideal conditions and result in a poorer outcome. The aim of this study was to evaluate the surgical outcome of elderly patients with hip fracture who underwent daytime versus out-of-hours surgery in Hong Kong. This will help make decisions about whether to operate out-of-hours or to delay surgery until the following day. Methods This retrospective study included all elderly patients with hip fracture who were operated on and discharged from the Prince of Wales Hospital in 2014. Patients were divided into groups according to the time of surgical incision. Records were examined for 30-day mortality and postoperative surgical complications, and their potential associations with surgeon characteristics. Results Overall, 367 patients were selected in this study with 242 patients in the daytime group and 125 in the out-of-hours group. Demographic characteristics were comparable between the two groups. The overall 30-day mortality rate was 2.0% and the surgical complication rate was 24.2%. Compared with the daytime group, there was no increase in 30-day mortality or surgical complications for out-of- hours group. Fewer surgeons were involved in out-of-hours surgery but the number of surgeons and their qualifications did not affect the outcomes. Conclusions The two groups were homogeneous in terms of demographic characteristics. Outcomes for 30-day mortality and postoperative surgical complications were comparable between the two groups. Surgeons' qualifications and number of surgeons involved were also not associated with the outcomes. Out-of-hours surgery remains a viable option in order to facilitate early surgery. |
| Databáze: | OpenAIRE |
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