Diabetes Confers Little to No Increased Risk of Postoperative Complications After Hip Fracture Surgery in Geriatric Patients

Timing of Adverse Events Following Geriatric Hip Fracture Surgery: A Study of 19,873 Patients in the American College of Surgeons National Surgical Quality Improvement Program

“…Figure 2 provides the summary statistics for adverse events diagnosed in the first 30 postoperative days. The median postoperative day of diagnosis (and the interquartile range) was 3 (1-5) for myocardial infarction, 3 (0-8) for cardiac arrest requiring cardiopulmonary resuscitation, 3 (1-10) for stroke, 4 (2-10) for pneumonia, 4 (2-11) for pulmonary embolism, 7 (2-13) for urinary tract infection, 9 (4-16) for deep vein thrombosis, 9 (4-18) for sepsis, 11 (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) for mortality, and 16 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) for surgical site infection. Figure 3 depicts the timing of adverse events relative to discharge.…”

“…The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) is a relatively new and growing surgical registry. 1,3,[13][14][15][16][17][18][19][20][21][22] The registry follows up patients undergoing surgical procedures at several hundred community and academic institutions nationwide. Unlike the administrative datasets discussed above, the ACS-NSQIP characterizes the postoperative day of diagnosis of well-defined adverse events during the first 30 postoperative days.…”

Predictive factors for early hospital readmission and one year mortality in elder patients following surgical treatment of a hip fracture

“…[6] On the other hand, Golinvaux mentioned that diabetes confers little to no increased risk of postoperative complications after hip fracture surgery in geriatric patients. [21] Therefore, no consensus exists regarding which comorbidities can be considered as precipitating factors of postoperative adverse events nor to what degree each one contributes to early readmission. Pre-existing hypertension, cardiac arrhythmia or ischemic heart disease, anemia, and diabetes were the most common comorbidities in our study group.…”

Use of a Publicly Available Database to Determine the Impact of Diabetes on Length of Hospital Stay for Elective Orthopedic Procedures in California

“…The results have been inconclusive, some suggesting that a diabetes diagnosis was associated with longer LOS after knee 20 or hip surgery, 21 while other studies have reported little or no difference relative to patients without diabetes. 22 Elsewhere, others have reported that patients with multiple comorbidities do have a longer LOS after knee surgery, and that diabetes was the second most common condition, increasing LOS by 20%. 20 Norris and Parker also have shown an increased risk of *The Chronic Disability Payment System model defines 2 severity levels for type 1 diabetes (High and Medium) and 2 levels for type 2 diabetes (Medium and Low).…”

“…23 However, a later report suggested that a diagnosis of diabetes was uncorrelated with increased risk of postoperative complications after hip fracture surgery among geriatric patients. 22 In terms of the effect of hospital characteristics, greater hospital volume of orthopedic procedures does appear to result in shorter average LOS for certain orthopedic procedures. 21 As mentioned earlier, the presence of diabetes-related comorbidities does appear to prolong LOS for common orthopedic procedures.…”