The effect of surgical timing on the outcome of patients with neck of femur fracture

Lim, Aik Honn, Lane, Stephen and Page, Richard 2015, The effect of surgical timing on the outcome of patients with neck of femur fracture, Archives of orthopaedic and trauma surgery, vol. In press, pp. 1-6, doi: 10.1007/s00402-015-2303-x.

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Title The effect of surgical timing on the outcome of patients with neck of femur fracture
Author(s) Lim, Aik Honn
Lane, Stephen
Page, RichardORCID iD for Page, Richard
Journal name Archives of orthopaedic and trauma surgery
Volume number In press
Start page 1
End page 6
Total pages 6
Publisher Springer
Place of publication Berlin, Germany
Publication date 2015
ISSN 0936-8051
Keyword(s) hip fracture
neck of femur fracture
surgical timing
Summary Aims: To investigate the effect of surgical timing (in hours versus after hours and weekdays versus weekends) on the outcome of patients with neck of femur fracture. Methods: Patients who were admitted to a single tertiary referral hospital for surgical management of femoral neck fractures over a continuous period from 1/11/2002 to 12/7/2012 were identified from medical records and the operating theatre database. Results: A consecutive series of 2334 patients were included in the study. Of the patients who underwent surgery during the weekday and during usual hours, 18 % (207/1135) experienced an adverse event, compared to 16 % (193/1199) outside of these times. The difference between the two groups was not significant (p = 0.17). The same conclusion was made for the comparison between those who had surgery during the week with those who had surgery on the weekend (17 %, 267/1546 and 17 %, 133/788, respectively, p > 0.05). The proportion of patients who underwent surgery during hours that experienced an adverse event was significantly higher than those undergoing surgery out of hours (18 %, 327/1789 and 13 %, 73/545, respectively, p = 0.0081). When adjusted for age, ASA score and pre-operative stay, there was no statistical difference between those different sub-groups. Conclusions: There was no difference in the rates of adverse events between patients who had surgery during hours and weekdays with those who had surgery after hours or weekends. The careful selection of patients with appropriate hospital staff, resources and adequate theatre access, surgery during after hours and weekends may be safely considered to prevent a delay in surgical treatment for patient with neck of femur fracture.
Language eng
DOI 10.1007/s00402-015-2303-x
Field of Research 110314 Orthopaedics
Socio Economic Objective 920116 Skeletal System and Disorders (incl. Arthritis)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Springer
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Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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