Geriatric Orthopaedic Surgery & Rehabilitation (Apr 2024)

Early Hip Fracture Surgery Within 24 hours did not Reduce the Mortality Rate but Resulted in Less Postoperative Opioid use and a Shorter Length of Stay: A Retrospective Study of 276 Patients From a Tertiary Private Hospital in Thailand

  • Aasis Unnanuntana MD, MSc,
  • Chirathit Anusitviwat MD,
  • Vasu Lertsiripatarajit MD,
  • Peerapol Riawraengsattha MD,
  • Manee Raksakietisak MD, FRCA

DOI
https://doi.org/10.1177/21514593241250150
Journal volume & issue
Vol. 15

Abstract

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Introduction The comparative results of early hip fracture surgery including mortality and postoperative complications in Thailand were not reported. Therefore, we conducted this study to compare the outcomes between patients who received hip surgery within and after 24 hours. Methods A retrospective study was conducted at a single center, a tertiary private hospital in Thailand. The medical records of patients who were admitted from 2018 to 2020 were reviewed. Patients aged .05) or postoperative complications ( P = .410) between the two groups. Conclusion While surgery within 24 hours showed some benefits, such as a shorter hospital stay and reduced pain rescue, it did not reduce mortality or major complications in hip fracture patients.