Effects of surgical timing on incidence of perioperative complications and postoperative 30-day mortality in elderly patients with hip fracture
10.3760/cma.j.cn115530-20241223-00501
- VernacularTitle:手术时机对老年髋部骨折患者围手术期并发症发生率和术后30 d内病死率的影响研究
- Author:
Shuangpeng JIANG
1
;
Gang ZHANG
1
;
Teng ZHANG
1
;
Chao DONG
1
;
Di AI
1
;
Qinghua SI
1
;
Libin PENG
1
;
Hongxing SONG
1
;
Qi YAO
1
Author Information
1. 首都医科大学附属北京世纪坛医院关节外科，北京 100038
- Publication Type:Journal Article
- Keywords:
Hip fractures;
Postoperative complications;
Mortality;
Aged;
Surgical timing
- From:
Chinese Journal of Orthopaedic Trauma
2025;27(3):204-209
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of surgical timing on incidence of perioperative complications and postoperative 30-day mortality in elderly patients with hip fracture.Methods:The data were retrospectively analyzed of the 450 elderly patients with hip fracture who had been admitted to Department of Joint Surgery, Beijing Shijitan Hospital, Capital Medical University from January 2016 to December 2021. The patients were divided into 2 groups according to the time from admission to surgery. In the early surgery group of 143 cases [41 males and 102 females with an age of 82(75, 86) years], the time from admission to surgery was ≤ 48 hours. In the delayed surgery group of 307 cases [88 males and 219 females with an age of 83(77, 87) years], the time from admission to surgery was over 48 hours. The 2 groups were compared in terms of comorbidities, perioperative complications, death events within postoperative 30 days, ICU transfer rate and total length of hospital stay.Results:There was no significant difference in the preoperative general data like age and gender between the 2 groups, indicating comparability ( P>0.05). The proportions of patients with coronary atherosclerotic heart disease [30.0%(92/307)], a stroke history [19.9%(61/307)], abnormal heart function [55.4%(170/307)] and abnormal kidney function [24.4%(75/307)] in the delayed surgery group were significantly higher than those in the early surgery group [18.2%(26/143), 10.5% (15/143), 39.2%(56/143), and 12.6%(18/143)] ( P<0.05). The proportions of perioperative pulmonary infection [22.5% (69/307)] and urinary infection [21.2%(65/307)] in the delayed operation group were significantly higher than those in the early operation group [11.9%(17/143) and 11.2%(16/143)] ( P<0.05). The total hospital stay in the delayed operation group [18(14, 22) d] was significantly longer than that in the early operation group [14(10, 17) d] ( P<0.05). There was no significant difference in ICU transfer rate or postoperative 30-day mortality between the 2 groups ( P>0.05). Conclusion:For elderly patients with hip fracture, delayed surgery may increase the incidence of pulmonary infection and urinary infection, and extend their total hospital stay, but have no effect on the postoperative 30-day mortality.
