Mortality in hip fractures: Stratifying the risk of operative delay and quantifying the benefit of early mobilisation
Mortality in hip fractures: Stratifying the risk of operative delay and quantifying the benefit of early mobilisation (Injury Journal).
We assess the efficacy of the national hip fracture database casemix adjustment model in a socially deprived cohort, and determine it to be fair. • Our findings suggest that delay to operation for hip fracture patients is not a significant mortality risk if the delay is for non-clinical reasons. • We observe a great reduction
in 30 day mortality in hip fracture patients when they are mobilised within a day of surgery and discuss this finding.
Introduction
Early mortality following hip fracture surgery remains a significant issue with
a much studied, multifactorial aetiology. This study designed to test the
variables affecting 30 day mortality in a socially deprived cohort against
national models, and secondarily aimed to uncover and quantify new risk
factors.
[...]
Conclusion
This study has confirmed the NHFD casemix adjusted model is a fair barometer
for units treating a socially deprived cohort. It also has shown a clear
differentiation between risk conveyed by delay to theatre for clinical reasons
and suggests delay for non-clinical reasons, although clearly not desired, may
not have a significant effect on death rate. Finally, it both amplifies and
prompts further investigation into the potential benefit of early mobilisation.
Quelle: Injury Journal, 15.10.2020
