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Delayed hospitalization increases mortality in displaced femoral neck fracture patients

Vertelis, Arunas; Robertsson, Otto LU ; Tarasevicius, Sarunas and Wingstrand, Hans LU (2009) In Acta Orthopaedica 80(6). p.683-686
Abstract
Background and purpose Reports regarding the relationship between delayed surgery and mortality in femoral neck fracture patients are contradictory. We could not find any study in the literature investigating delayed arrival to hospital and delayed surgery as separate factors affecting mortality in femoral neck fracture patients, which was the purpose of our study. Patients and methods We analyzed 265 consecutive patients with displaced femoral neck fractures. We recorded the time period from trauma to admission, and to surgery, and correlated it to mortality during the first postoperative year. Results We found that arrival within 6 hours had 0.4 times (CI 0.2-0.8) reduction of the risk of death within 1 year compared to those who arrived... (More)
Background and purpose Reports regarding the relationship between delayed surgery and mortality in femoral neck fracture patients are contradictory. We could not find any study in the literature investigating delayed arrival to hospital and delayed surgery as separate factors affecting mortality in femoral neck fracture patients, which was the purpose of our study. Patients and methods We analyzed 265 consecutive patients with displaced femoral neck fractures. We recorded the time period from trauma to admission, and to surgery, and correlated it to mortality during the first postoperative year. Results We found that arrival within 6 hours had 0.4 times (CI 0.2-0.8) reduction of the risk of death within 1 year compared to those who arrived later, whereas delayed surgery after admission did not have a statistically significant effect on mortality. Interpretation Femoral neck fracture patients who arrived at hospital 6 hours or later after the trauma had increased mortality. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
80
issue
6
pages
683 - 686
publisher
Taylor & Francis
external identifiers
  • wos:000272611900010
  • scopus:72549101760
ISSN
1745-3682
DOI
10.3109/17453670903506666
language
English
LU publication?
yes
id
4b43ac1a-504a-49a5-a2bf-9af6706f2962 (old id 1532927)
date added to LUP
2010-01-28 16:31:38
date last changed
2017-01-01 05:44:29
@article{4b43ac1a-504a-49a5-a2bf-9af6706f2962,
  abstract     = {Background and purpose Reports regarding the relationship between delayed surgery and mortality in femoral neck fracture patients are contradictory. We could not find any study in the literature investigating delayed arrival to hospital and delayed surgery as separate factors affecting mortality in femoral neck fracture patients, which was the purpose of our study. Patients and methods We analyzed 265 consecutive patients with displaced femoral neck fractures. We recorded the time period from trauma to admission, and to surgery, and correlated it to mortality during the first postoperative year. Results We found that arrival within 6 hours had 0.4 times (CI 0.2-0.8) reduction of the risk of death within 1 year compared to those who arrived later, whereas delayed surgery after admission did not have a statistically significant effect on mortality. Interpretation Femoral neck fracture patients who arrived at hospital 6 hours or later after the trauma had increased mortality.},
  author       = {Vertelis, Arunas and Robertsson, Otto and Tarasevicius, Sarunas and Wingstrand, Hans},
  issn         = {1745-3682},
  language     = {eng},
  number       = {6},
  pages        = {683--686},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica},
  title        = {Delayed hospitalization increases mortality in displaced femoral neck fracture patients},
  url          = {http://dx.doi.org/10.3109/17453670903506666},
  volume       = {80},
  year         = {2009},
}