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MINERVA ORTOPEDICA E TRAUMATOLOGICA
Rivista di Ortopedia e Traumatologia
Minerva Ortopedica e Traumatologica 2015 Giugno;66(3):117-22
Postoperative complications in hip fractures treatment having a late surgery in the day: a retrospective cohort study
Caforio M., Ferraro F., Maniscalco P.
Orthopedics and Traumatology Department, AUSL Piacenza, Piacenza, Italy
AIM: The need to treat all patients with hip fracture within 48 hours from hospital admission makes it necessary to continue the surgical sessions in the afternoon and the evening. The aim of this retrospective study is to establish if there is a correlation between the pre-surgical time and the occurrence of postsurgical complications like respiratory, urinary and surgical wound infections and raving disorders.
METHODS: The data of 281 patients treated in one year were taken from the hospital discharge forms and correlated to preoperative waiting time, considering that all patients had to fast since midnight.
RESULTS: A statistically significant correlation between long presurgical time and postsurgical infections and raving disorder was discovered.
CONCLUSION: We have verified that the presence of these complications in the acute stage did not lead to a considerable increase of mortality among the operated patients. In the future, orthopedists, orthogeriatricians and case managers should take into account the onset of these complications.