Short-term mortality in hip fracture patients admitted during weekends and holidays

Foss, Nicolai Bang; Kehlet, Henrik

doi:10.1093/bja/ael012

Cited by 105 publications

(90 citation statements)

References 11 publications

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“…The finding of the relationship between weekend admissions and higher mortality is similar to the results of Foss and Kehlet regarding hip fracture 36 19,37 . Disparities in medical resources, expertise or staffing levels for nurses as well as for physicians during weekends may exist in Taiwan 19 .…”

Section: Discussionsupporting

confidence: 88%

Factors Associated with Pneumonia Outcomes: A Nationwide Population-Based Study over the 1997–2008 Period

Chang

Tung

2011

J GEN INTERN MED

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Section: Discussionsupporting

confidence: 88%

Factors Associated with Pneumonia Outcomes: A Nationwide Population-Based Study over the 1997–2008 Period

Chang

Tung

2011

J GEN INTERN MED

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“…The parameters most often investigated are age, gender, surgical delay [12], co-morbidity [13] and post-operative complications [16], while less literature exists describing the effect of the type and location of fractures [6], type of institutions providing the treatment, day of admission [5], delayed post-operative mobilisation [18] and others.…”

Section: Introductionmentioning

confidence: 99%

Effect of surgical delay on early mortality in patients with femoral neck fracture

Sebestyén¹,

Boncz

Sándor

et al. 2007

International Orthopaedics (SICO

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The aim of this study was to investigate the relationship between the delay between surgical treatment and mortality occurring within 30 days post-injury in patients aged 60 or older with femoral neck fracture. Data derive from the nationwide database of the National Health Insurance Fund Administration. Logistic regression analysis was performed to analyse the relationship between 30-day mortality and surgical delay in four groups of patients operated on within 12 h, between 12-24 h, 24-48 h or over 48 h post-injury. There were 3,777 patients involved in the study. Mortality rates in the four groups were 7.7%, 10.5%, 10.5% and 9.4%, respectively. Univariate logistic regression analysis revealed a statistically significant increase in the mortality risk in the 12-24-h treatment group compared to the group treated within 12 h (odds ratio, OR 12-24h =1.413, confidence interval, CI 12-24h : 1.032-1.935; p =0.031).According to multiple regression analysis, all three groups (12-24 h, 24-48 h and over 48 h) showed a trend to increased mortality risks, but this was not statistically significant p= 0.106; : 0.932-2.056, p=0.108; OR >48h =1.246, CI >48h : 0.950-1.635, p=0.113). We can conclude that sex, age and accompanying diseases significantly influenced early mortality, while early post-operative complications did not have a significant impact on the mortality risks.

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“…Compared with surgery on weekdays, surgery on weekends was associated with increased in-hospital mortality ( Morbidity and in-hospital mortality after hip fracture surgery on weekends versus weekdays 43 discussion Admission during a holiday period is an independent risk factor for 5-day and 30-day mortality in hip fracture patients. 12 Weekend admission is associated with higher rates of mortality and surgical complications than normal weekday admission. 13,14 This 'weekend effect' also applies to patients with femoral neck fractures.…”

Section: Resultsmentioning

confidence: 99%

Morbidity and In-Hospital Mortality after Hip Fracture Surgery on Weekends versus Weekdays

Kent

Adie

Stackpool

2016

J Orthop Surg (Hong Kong)

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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,Morbidity and in-hospital mortality after hip fracture surgery on weekends versus weekdays surgery on weekends was associated with increased in-hospital mortality but not with increased morbidity after adjusting for confounders, compared with surgery on weekdays.

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Short-term mortality in hip fracture patients admitted during weekends and holidays

Abstract: Staff reduction during holiday periods in units that care for acute surgical patients may adversely influence postoperative outcome. This may have important consequences both for outcome analysis of interventions and the planning of resource management in surgical units.

Cited by 105 publications

References 11 publications

Factors Associated with Pneumonia Outcomes: A Nationwide Population-Based Study over the 1997–2008 Period

Factors Associated with Pneumonia Outcomes: A Nationwide Population-Based Study over the 1997–2008 Period

Effect of surgical delay on early mortality in patients with femoral neck fracture

Morbidity and In-Hospital Mortality after Hip Fracture Surgery on Weekends versus Weekdays

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