Objectives Reports show an increase in the short‐term mortality rates of hip fracture patients admitted on weekends. However, there are few studies on whether there is a similar effect in Friday admissions of geriatric hip fracture patients. The aim of this study was to evaluate the effects of Friday admission on mortality and clinical outcomes in elderly patients with hip fractures. Methods A retrospective cohort study was performed at a single orthopaedic trauma centre and included all patients who underwent hip fracture surgery between January 2018 and December 2021. Patient characteristics, including age, sex, BMI, fracture type, time of admission, ASA grade, comorbidities, and laboratory examinations, were collected. Data pertaining to surgery and hospitalization were extracted from the electronic medical record system and tabulated. The corresponding follow‐up was performed. The Shapiro–Wilk test was applied to evaluate the distributions of all continuous variables for normality. The overall data were analyzed by Student's t test or the Mann–Whitney U test for continuous variables and the chi‐square test for categorical variables, as appropriate. Univariate and multivariate analyses were used to further test for the independent influencing factors of prolonged time to surgery. Results A total of 596 patients were included, and 83 patients (13.9%) were admitted on Friday. There was no evidence supporting that Friday admission had an effect on mortality and outcomes, including length of stay, total hospital costs and postoperative complications. However, the patients admitted on Friday had delayed surgery. Then, patients were regrouped into two groups according to whether surgery was delayed, and 317 patients (53.2%) underwent delayed surgery. The multivariate analysis showed that younger age ( p = 0.014), Friday admission ( p < 0.001), ASA classification III‐IV ( p = 0.019), femoral neck fracture ( p = 0.002), time from injury to admission more than 24 h ( p = 0.025), and diabetes ( p = 0.023) were risk factors for delayed surgery. Conclusions Mortality and adverse outcome rates for elderly hip fracture patients admitted on Friday were similar to those admitted at other time periods. However, Friday admission was identified as one of the risk factors for delayed surgery.

BackgroundThe number of patients with osteoporosis or low bone mass is increasing annually. Weight loss is reportedly associated with bone loss and is a strong predictor of osteoporosis. It was still not clear the relationship between weight loss and bone loss in the elder.MethodsThe study included 520 patients aged ≥65 years (178 men and 342 women). Age, gender, weight, and height were recorded. Femoral neck bone mineral density and T-score were investigated using a dual-energy X-ray absorptiometry scanner. Blood calcium (Ca), phosphorus (P), albumin (ALB), alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT), triglyceride (TG), total cholesterol (TC), high-density lipoprotein (HDL) and low-density lipoprotein (LDL) levels were measured. Patients were classified by gender (male and female), age (65-79 years and ≥80 years), and T-score: normal, osteopenia and osteoporosis.ResultsAge, gender, body mass index (BMI), ALP and TG were independent factors for osteoporosis. For the 65-79 and ≥80 year age groups, female patients presented lower T-scores than males. Ca, P, ALB, ALP, TC, HDL and LDL levels were significantly different between men and women in the 65-79 year age group. In addition, BMI and TG levels were significantly decreased in osteoporotic patients compared with normal bone mass patients. TC levels declined in 65-79 year-old male and female patients with osteoporosis. In the group of women aged ≥80 years, osteoporotic patients showed significantly increased ALP levels. Furthermore, we found positive correlations between BMI and TG levels in the groups of male and female patients. However, we found no significant differences in ALB, Ca, P, HDL and LDL levels in osteoporotic compared to normal bone mass patients.Conclusion Osteoporotic patients showed significantly decreased BMI and TG levels compared with those with normal bone mass. BMI was showed positive correlations with TG levels in male and female patients. These results indicate a correlation between weight loss and bone loss and a correlation between lipid profiles and bone mass.