• Acta orthopaedica · Dec 2012

    Comparative Study

    Is mortality after hip fracture associated with surgical delay or admission during weekends and public holidays? A retrospective study of 38,020 patients.

    • Cecilie Laubjerg Daugaard, Henrik L Jørgensen, Troels Riis, Jes B Lauritzen, Benn R Duus, and Susanne van der Mark.
    • Department of Orthopaedic Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark. ccilielaubjerg@hotmail.com
    • Acta Orthop. 2012 Dec 1; 83 (6): 609-13.

    Background And PurposeHip fractures are associated with high mortality, but the cause of this is still not entirely clear. We investigated the effect of surgical delay, weekends, holidays, and time of day admission on mortality in hip fracture patients.Patients And MethodsUsing data from the Danish National Indicator Project, we identified 38,020 patients admitted from 2003 to 2010. Logistic regression analysis was used to study the association between sex, age, weekend or holiday admission, night-time admission, time to surgery, and ASA score on the one hand and mortality on the other.ResultsThe risk of death in hospital increased with surgical delay (odds ratio (OR) = 1.3 per 24 h of delay), ASA score (OR (per point added) = 2.3), sex (OR for men 2.2), and age (OR (per 5 years) = 1.4). The mortality rate for patients admitted during weekends or public holidays, or at night, was similar to that found for those admitted during working days.InterpretationMinimizing surgical delay is the most important factor in reducing mortality in hip fracture patients.

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