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Causes of Surgical Delay and Demographic Characteristics in Patients with Hip Fracture

Sjöstrand, Desirée LU ; Hommel, Ami LU and Johansson, Anders LU (2013) In Open Journal of Orthopedics 3. p.193-198
Abstract
Background: Several studies analyze how surgical delay affects patients with hip fracture. The aim of this study was to

identify the causes of surgical delay and demographic characteristics in patients with hip fracture who had delays longer

than 24 hours from admission to hospital. Methods: Quantitative retrospective register study of 484 patients was consecutively

included during the period November 1, 2010 and October 31, 2011 in the University Hospital in Lund (Sweden).

Results: A frequency of 29.4% had a surgical delay longer than 24 hours. The main reasons for delays to surgery

were lack of theatre facilities (54%), medical unstable patient (16%) and anticoagulant treatment (10%). Of all... (More)
Background: Several studies analyze how surgical delay affects patients with hip fracture. The aim of this study was to

identify the causes of surgical delay and demographic characteristics in patients with hip fracture who had delays longer

than 24 hours from admission to hospital. Methods: Quantitative retrospective register study of 484 patients was consecutively

included during the period November 1, 2010 and October 31, 2011 in the University Hospital in Lund (Sweden).

Results: A frequency of 29.4% had a surgical delay longer than 24 hours. The main reasons for delays to surgery

were lack of theatre facilities (54%), medical unstable patient (16%) and anticoagulant treatment (10%). Of all patients,

69% (n = 332) were women and 31% (n = 151) were men. The mean age for women were 83.6 (CI 83 - 85) vs. 79 (CI

77 - 81) for men, respectively. The most common type of hip fracture was displaced cervical hip fracture (39%, n = 188)

with a majority of fractures in male patients. In total, women suffered hip fractures to a greater extent than men (69% vs.

31%, p = 0.016), but no relationship was found with respect to the fracture type and age (p = 0.358). Conclusion: The

main result demonstrated that delays longer than 24 hours were due to lack of theatre facilities. Further researches have

to be done in order to investigate whether lack of theatre facilities depends on improper operation planning and/or on

lack of medical staff. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Orthopedics, Hip Fracture, Surgical Delay, Register Study
in
Open Journal of Orthopedics
volume
3
pages
193 - 198
ISSN
2164-3008
DOI
10.4236/ojo.2013.34035
language
English
LU publication?
yes
id
4311c9f3-036d-45c4-86d9-33c08075e19c (old id 3971541)
date added to LUP
2016-02-02 11:27:50
date last changed
2016-04-16 06:21:42
@misc{4311c9f3-036d-45c4-86d9-33c08075e19c,
  abstract     = {Background: Several studies analyze how surgical delay affects patients with hip fracture. The aim of this study was to<br/><br>
identify the causes of surgical delay and demographic characteristics in patients with hip fracture who had delays longer<br/><br>
than 24 hours from admission to hospital. Methods: Quantitative retrospective register study of 484 patients was consecutively<br/><br>
included during the period November 1, 2010 and October 31, 2011 in the University Hospital in Lund (Sweden).<br/><br>
Results: A frequency of 29.4% had a surgical delay longer than 24 hours. The main reasons for delays to surgery<br/><br>
were lack of theatre facilities (54%), medical unstable patient (16%) and anticoagulant treatment (10%). Of all patients,<br/><br>
69% (n = 332) were women and 31% (n = 151) were men. The mean age for women were 83.6 (CI 83 - 85) vs. 79 (CI<br/><br>
77 - 81) for men, respectively. The most common type of hip fracture was displaced cervical hip fracture (39%, n = 188)<br/><br>
with a majority of fractures in male patients. In total, women suffered hip fractures to a greater extent than men (69% vs.<br/><br>
31%, p = 0.016), but no relationship was found with respect to the fracture type and age (p = 0.358). Conclusion: The<br/><br>
main result demonstrated that delays longer than 24 hours were due to lack of theatre facilities. Further researches have<br/><br>
to be done in order to investigate whether lack of theatre facilities depends on improper operation planning and/or on<br/><br>
lack of medical staff.},
  author       = {Sjöstrand, Desirée and Hommel, Ami and Johansson, Anders},
  issn         = {2164-3008},
  keyword      = {Orthopedics,Hip Fracture,Surgical Delay,Register Study},
  language     = {eng},
  pages        = {193--198},
  series       = {Open Journal of Orthopedics},
  title        = {Causes of Surgical Delay and Demographic Characteristics in Patients with Hip Fracture},
  url          = {http://dx.doi.org/10.4236/ojo.2013.34035},
  volume       = {3},
  year         = {2013},
}