Syed Dil Bagh Ali Shah, Abdus Samad Khan, Ghazala Sahib Shah, Zaffar Durrani.
Relationship of Preoperative Surgical Delay to the Early Mortality after Hip Fracture in Elderly Patients.
Ophthalmol Update Jan ;13(4):333-6.

Objective: To determine whether a delay in surgery for hip fractures affects postoperative mortality among elderly patients. Study design: Descriptive case-series. Place & Duration of study: Orthopedic department Khyber Teaching Hospital Peshawar, from January 2015 to August 2015. Methodology: This is a prospective study of 108 patients who underwent surgical treatment of a hip fracture. Postoperative mortality rates were measured in relation to the delay in surgery. Results: Total mortality following the hip fracture surgery was 8.1% (30-days), when compared to pre-operative delay in patients who had surgery within 2 days(first 48 hours) and those after 48 hours(2 days), the mortality rates were 0% and 8.1% respectively (statistically significant). Conclusions: Patients with hip fractures in whom surgery was delayed (due to any reasons) beyond first 48 hours (first 2 days) had 8.1% higher risk of death in 30 days (with in first month) as compared to those operated with in first 48 hours.

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