THE ROLE OF SURGICAL DELAY ON EARLY MORTALITY IN PATIENTS WITH FEMORAL NECK FRACTURE
Author(s)
Andor Sebestyén, MD, MBA, deputy director1, János Sándor, MD, PhD, department head2, József Nyárády, MD, PhD, department head2, József Betlehem, BSc, MSc, PhD, vice-dean2, László Gulácsi, PhD, Associate Professor3, Márta Péntek, rheumatologist, MD4, Imre Boncz, MD, MSc, PhD, department head21National Health Insurance Fund Administration, Pécs, Hungary; 2 University of Pécs, Pécs, Hungary; 3 Corvinus University of Budapest, Budapest, Hungary; 4 Flor Ferenc County Hospital, Kistarcsa, Hungary
OBJECTIVES: The aim of the present study was to investigate the relationship between the delay of definitive surgical treatment and mortality rates occurring within 30 days post-injury in patients aged 60 or older with femoral neck fracture. METHODS: Data were obtained from the database of the National Health Insurance Fund and from the questionnaire survey carried out by the institutions providing the treatment. Logistic regression analysis was performed to analyse the correlation between mortality risks within 30 days and delayed surgery in patients operated at 12-24 h, 24-48 h or after 48 h post-injury in comparison with mortality risks associated with early (within 12 h) treatment. RESULTS: The number of patients meeting the case definition criteria was 3777 with the average age of 77.97 years. Mortality rates in four groups were 7.7%, 10.5%, 10.5% and 9.4%, respectively. According to multiple regression analysis, all three groups (12-24 h, 24-48 h and the over 48 h) showed a trend to increased mortality risks but this was not statistically significant (OR12-24h =1.301 CI12-24h: 0.945-1.791, p=0.106; OR24-48h =1.384 CI24-48h: 0.932-2.056, p=0.108; OR48h
Conference/Value in Health Info
2007-10, ISPOR Europe 2007, Dublin, Ireland
Value in Health, Vol. 10, No. 6 (November/December 2007)
Code
POS3
Topic
Clinical Outcomes
Topic Subcategory
Relating Intermediate to Long-term Outcomes
Disease
Musculoskeletal Disorders