Morbidity and in-hospital mortality after hip fracture surgery on weekends versus weekdays

被引:7
作者
Kent, Steven John [1 ]
Adie, Sam [2 ]
Stackpool, Gregory [3 ]
机构
[1] John Hunter Hosp, Sydney, NSW, Australia
[2] Univ New S Wales, South West Sydney Clin Sch, Sydney, NSW 2052, Australia
[3] Wollongong Hosp, Dept Orthopaed, Wollongong, NSW, Australia
关键词
hip fractures; hospital mortality; morbidity; SHORT-TERM MORTALITY; OPERATIVE DELAY; ADMISSION; QUALITY; CARE;
D O I
10.1177/230949901602400111
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose. To compare morbidity and in-hospital mortality in patients who underwent surgery for femoral neck fracture on weekends versus on weekdays. Methods. Records of 90 men and 225 women (mean age, 80.5 years) who underwent surgery for femoral neck fractures on weekends or public holidays (n=110) or on weekdays (n=205) were retrospectively reviewed. The morbidity and in-hospital mortality of the 2 groups were compared. Results. The 2 groups were comparable in terms of age, sex, and time to surgery, but more hemiarthroplasties were performed on weekdays (35.0% vs. 25.0%, p=0.036). Compared with surgery on weekdays, surgery on weekends was associated with increased in-hospital mortality (3.4% vs. 9.1%, p=0.04). None of the potential confounders (age, type of surgery, presenting hospital, and time to surgery) had a significant effect on in-hospital mortality. Conclusion. In patients with femoral neck fractures, surgery on weekends was associated with increased in-hospital mortality but not with increased morbidity after adjusting for confounders, compared with surgery on weekdays.
引用
收藏
页码:41 / 44
页数:4
相关论文
共 17 条
  • [1] [Anonymous], 2012, NAT HIP FRACT DAT NA
  • [2] Complication rates on weekends and weekdays in US hospitals
    Bendavid, Eran
    Kaganova, Yevgenia
    Needleman, Jack
    Gruenberg, Leonard
    Weissman, Joel S.
    [J]. AMERICAN JOURNAL OF MEDICINE, 2007, 120 (05) : 422 - 428
  • [3] Mortality associated with delay in operation after hip fracture: observational study
    Bottle, A
    Aylin, P
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2006, 332 (7547): : 947 - 950
  • [4] Does Late Night Hip Surgery Affect Outcome?
    Chacko, Aron T.
    Ramirez, Miguel A.
    Ramappa, Arun J.
    Richardson, Lars C.
    Appleton, Paul T.
    Rodriguez, Edward K.
    [J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2011, 71 (02): : 447 - 453
  • [5] Effects of weekend admission and hospital teaching status on in-hospital mortality
    Cram, P
    Hillis, SL
    Barnett, M
    Rosenthal, GE
    [J]. AMERICAN JOURNAL OF MEDICINE, 2004, 117 (03) : 151 - 157
  • [6] The influence of immediate surgical treatment of proximal femoral fractures on mortality and quality of life -: Operation within six hours of the fracture versus later than six hours
    Dorotka, R
    Schoechtner, H
    Buchinger, W
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2003, 85B (08): : 1107 - 1113
  • [7] Short-term mortality in hip fracture patients admitted during weekends and holidays
    Foss, NB
    Kehlet, H
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 2006, 96 (04) : 450 - 454
  • [8] Morbidity and mortality after hip fracture: the impact of operative delay
    Gdalevich, M
    Cohen, D
    Yosef, D
    Tauber, C
    [J]. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2004, 124 (05) : 334 - 340
  • [9] DOES THE CURRENT USE OF JUNIOR DOCTORS IN THE UNITED-KINGDOM AFFECT THE QUALITY OF MEDICAL-CARE
    MCKEE, M
    BLACK, N
    [J]. SOCIAL SCIENCE & MEDICINE, 1992, 34 (05) : 549 - 558
  • [10] Does delay in surgery after hip fracture lead to worse outcomes? A multicenter survey
    Novack, Victor
    Jotkowitz, Alan
    Etzion, Ohad
    Porath, Avi
    [J]. INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2007, 19 (03) : 170 - 176