Delayed surgical treatment of geriatric hip fractures increases the need for intensive care unit, morbidity and mortality rates

Authors : Yavuz ŞAHBAT, Tolga ONAY, Ömer SOFULU, Oytun Derya TUNC, Elif Nur KOÇAK, Bulent EROL

Pages : 326-333

Doi:10.5472/marumj.1367987

View : 30 | Download : 45

Publication Date : 2023-09-29

Article Type : Research Paper

Abstract :Objective: The aim of this study was to present the intensive care admission, morbidity and mortality rates of older adults with hip fractures who could not be operated in the first 48 hours after admission, which is the recommended time in literature. Patients and Methods: Patients aged >60 years of age with a hip fracture who were operated on in our clinic between January 2012 and June 2021 were identified. The patients were evaluated in 3 groups according to preoperative waiting time, as Group 1: 2-10 days, Group 2: 11-20 days, and Group 3: ≥21 days. Results: Mortality within 1 year was found to be 20% in Group 1, 31% in Group 2, and 50% in Group 3 insert ignore into journalissuearticles values(P=0.001);. Preoperative waiting time did not affect complications related to surgery infection insert ignore into journalissuearticles values(P=0.890);, implant failure insert ignore into journalissuearticles values(P=0.129); but surgeons had to deal with decubitus ulcer insert ignore into journalissuearticles values(P=0.016); and urinary tract infection insert ignore into journalissuearticles values(P=0.001);. Patients with a long preoperative waiting time required preoperative intensive care insert ignore into journalissuearticles values(P=0.003);. Conclusion: The study results demonstrate that as the preoperative waiting period increases, the mortality rate also increases, the need for intensive care before and after the operation increases, and there is increased morbidity due to a long hospital stay.
Keywords : Hip fracture, Preoperative waiting time, Intensive care unit