Elsevier

Injury

Volume 23, Issue 2, 1992, Pages 83-86
Injury

Mortality after hip fracture: results of operation within 12 h of admission

https://doi.org/10.1016/0020-1383(92)90037-SGet rights and content

Abstract

This retrospective study was undertaken to evaluate the mortality and morbidity of patients undergoing hip fracture surgery within 12 h of admission, compared with surgery more than 12 h after admission, the patients had no acute medical conditions that required preoperative treatment. Mortality rates were based on survival of the patients up to 1 year after surgery. For patients with fractures of the femoral neck, and in whom surgery was performed within 12 hours of admission, the mortality rate was significantly lower from 5 months after the operation. Time of surgery did not influence the mortality of patients with trochanteric fractures. It is suggested that a fractured neck of the femur in an otherwise fit elderly patient should be regarded as a surgical emergency.

References (15)

There are more references available in the full text version of this article.

Cited by (124)

  • A three-year retrospective multi-center study on time to surgery and mortality for isolated geriatric hip fractures

    2020, Journal of Clinical Orthopaedics and Trauma
    Citation Excerpt :

    The HLOS in our study was an average of one day longer for the delayed group after adjustment. Bredahl et al. also looked at the HLOS and found a significant increase in HLOS for patients who received delayed surgery but did not adjust for confounding variables.8 Orosz et al. compared outcomes for early versus delayed surgery, using 24 h as a definition for early surgery, and similarly found that early surgery was not associated with mortality but was associated with HLOS.13

  • The Exeter Trauma Stem: A radiographic follow-up at minimum of five years post implantation

    2017, Injury
    Citation Excerpt :

    Comparison of death rates is difficult to interpret between groups as Raut’s groups had a large range of follow-up (2–7 years) compared to our group which had a mean of 7.6 year follow-up (death rates in both groups similar despite this 63.2% in Rauts cohort vs 62.8% in our cohort) [9]. Mortality after hip fracture remains high with a mortality rate of up to 30% at one year [31] and 80% after 8 years [32]. This is equivocal to our data and would suggest that the long term survival of a hemiarthroplasty implant is less critical when compared to that of the total hip replacement.

  • Predicting intertrochanteric extension of greater trochanter fractures of the hip on plain radiographs

    2017, Injury
    Citation Excerpt :

    Femoral neck fractures are one of the commonest trauma admissions to orthopaedic departments, accounting for approximately 100,000/year in the UK [1]. Early diagnosis and appropriate management significantly reduces the morbidity and mortality in these patients [2]. The majority of these fractures are relatively easily diagnosed based on clinical findings and plain radiographs.

View all citing articles on Scopus
View full text