Early surgery after hip fractures reduces death

Sep 13, 2010

Performing early surgery on elderly hip fracture patients reduces the risk of death by 19%, found a study published in CMAJ (Canadian Medical Association Journal).

Hip fractures are associated with a mortality rate of 14 to 36% in the year following the fracture and can negatively affect a patient's independence and quality of life. Current guidelines recommend within 24 hours of the break, although some physicians who favour delays believe it provides more time to prepare the patient and can decrease the risk of complications.

The researchers, from McMaster University and the University of Toronto, set out to determine the impact of early versus delayed surgery on death and postoperative complications. They looked at 16 observational studies with a total of 13, 478 patients aged 60 years and older. They found that surgery before 24 to 72 hours reduced the risk of death and may reduce the risk of postoperative pneumonia and pressure sores.

"Based on current evidence, surgery conducted before 24-72 hours is associated with reduced mortality and certain postoperative complications in elderly hip fracture patients," write Dr. Mohit Bhandari, McMaster University, with coauthors.

The authors recommend additional studies to better understand the effect of early surgery among elderly patients.

Explore further: Key element of CPR missing from guidelines

add to favorites email to friend print save as pdf

Related Stories

Proton pump inhibitors increase risk of bone fractures

Aug 12, 2008

Patients who use proton pump inhibitors for 7 or more years to treat reflux, peptic ulcers and other conditions are at greater risk of osteoporosis-related fractures, according to this large observational study of 15,792 ...

Should patients undergoing surgery take Aspirin?

Oct 23, 2006

A national survey of Canadian surgeons by researchers at McMaster University found little consistency in their use of the blood thinner Aspirin in patients undergoing non-cardiac surgery.

Recommended for you

Exploring 3-D printing to make organs for transplants

8 hours ago

Printing whole new organs for transplants sounds like something out of a sci-fi movie, but the real-life budding technology could one day make actual kidneys, livers, hearts and other organs for patients ...

High frequency of potential entrapment gaps in hospital beds

9 hours ago

A survey of beds within a large teaching hospital in Ireland has shown than many of them did not comply with dimensional standards put in place to minimise the risk of entrapment. The report, published online in the journal ...

Key element of CPR missing from guidelines

Jul 29, 2014

Removing the head tilt/chin lift component of rescue breaths from the latest cardiopulmonary resuscitation (CPR) guidelines could be a mistake, according to Queen's University professor Anthony Ho.

Burnout impacts transplant surgeons (w/ Video)

Jul 28, 2014

Despite saving thousands of lives yearly, nearly half of organ transplant surgeons report a low sense of personal accomplishment and 40% feel emotionally exhausted, according to a new national study on transplant surgeon ...

User comments : 0