• Daniel J Westacott, Adbulbaset A Abosala, and Nasser M Kurdy.
• Trauma and Orthopaedics, Department of Trauma and Orthopaedics, University Hospital of South Manchester, Bristol, UK BS8 3JW. dan_westacott@hotmail.com
• J Foot Ankle Surg. 2010 May 1;49(3):259-62.

AbstractIn order to identify specific factors associated with prolonged inpatient stay following surgical correction of acute ankle fracture, we conducted a retrospective cohort study of patients who underwent acute ankle fracture repair, comparing length of hospital stay to the reason for delay of surgery (logistical versus clinical), type of fracture, and age. Our findings showed that delay in surgical repair beyond 24 hours following presentation to the emergency department was associated with a statistically significant overall longer length of stay, in comparison to patients who underwent surgery within the first 24 hours (P = .022). Delay due to clinical reasons statistically significantly increased the length of stay (P = .004), whereas those due to purely logistical reasons also prolonged the stay, although this association was not statistically significant in our study (P = .086). We also observed a statistically significant positive correlation between age and length of stay (P Copyright 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

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