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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2013 April;64(2):129-36
Prognostic role of the delay in surgery in patients with femoral fracture
Schirò M., D’amelio A., Violante E., Drogo N., Casale V., Massè A. ✉
Struttura Complessa a Direzione Universitaria di Ortopedia e Traumatologia, AOU San Luigi Gonzaga, Orbassano, Torino, Italia
Aim: Femoral fracture is an important problem with a growing economic and social impact. The increase in the average age of the population is closely correlated with the increasing incidence of the disease. The study of the causes leads to the identification of some factors that may affect bone mass and risk of falling, such as advanced age and comorbidity. The guidelines provide a detailed list of recommendations on the treatment of these patients, but it is still uncertain the effect of the delayed surgery. The aim of our study was to evaluate the risk factors that may characterize these patients at admission, to evaluate their effects on survival and duration of hospital stay. In particular, we evaluate the effect of delay in the time of surgery on survival and on hospitalization times.
Methods: We evaluated 101 patients, in which we considered as determinants age, sex, fracture type, number of comorbidities, and ASA score for anesthetic risk, the time elapsed between admission and surgery and, as outcomes, the length of stay and survival.
Results: Statistical analysis showed that patients operated on within 48 hours had a lower risk of mortality and a lower average hospital stay.
Conclusion: The patient with hip fracture should be considered critical and to undergo surgery in a regime of urgency.