Can We Accurately Predict Which Geriatric and Middle-Aged Hip Fracture Patients Will Experience a Delay to Surgery?

Geriatric Orthopaedic Surgery & Rehabilitation
Sanjit R KondaKenneth A Egol

Abstract

This study sought to investigate whether a validated trauma triage risk assessment tool can predict time to surgery and delay to surgery. Patients aged 55 and older who were admitted for operative repair or arthroplasty of a hip fracture over a 3-year period at a single academic institution were included. Risk quartiles were constructed using Score for Trauma Triage in the Geriatric and Middle-Aged (STTGMA) calculations. Negative binomial and multivariable logistic regression were used to evaluate time to surgery and delay to surgery, respectively. Pairwise comparisons were performed to evaluate 30-day mortality rates and demonstrate the effectiveness of the STTGMA tool in triaging mortality risk. Six hundred eleven patients met inclusion criteria with mean age 81.1 ± 10.5 years. Injuries occurred mainly secondary to low-energy mechanisms (97.9%). Median time to surgery (31.9 hours overall) was significantly associated with STTGMA stratification (P = .002). Moderate-risk patients had 33% longer (P = .019) and high-risk patients had 28% longer time to surgery (P = .041) compared to minimal risk patients. Delay to surgery (26.4% overall) was significantly associated with STTGMA stratification (P = .015). Low-risk patients had 2.1...Continue Reading

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Citations

Feb 9, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Sanjit R KondaKenneth A Egol
May 5, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Andrew M SchneiderNicholas M Brown
Jun 10, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Rown ParolaKenneth A Egol
Aug 14, 2021·Journal of Orthopaedics·Abhishek GantaKenneth A Egol
Aug 17, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Sanjit R KondaKenneth A Egol
Jun 11, 2021·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Sanjit R KondaKenneth A Egol

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

SPSS
STTGMA

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