Early fixation reduces morbidity and mortality in elderly patients with hip fractures from low-impact falls

摘要: Objective : To determine the effect of timing fracture fixation and physiologic status on admission elderly patients with hip fractures from low impact falls resource utilization outcome. Methods A 5-year retrospective review 82 (age > 65 years) isolated low-impact stratified into early ( 72 hours) operative fixation. Admission Acute Physiology Chronic Health Evaluation (APACHE) II scores, number comorbidities, type, complication rate, length stay, discharge acuity, mortality were calculated for each group. Results Values are mean ± SD. The APACHE score entire group was 8.1 0.2, indicating that these physiologically stable arrival. numbers comorbidities or not significant between groups. No differences existed in scores survivors nonsurvivors (7.95 2.34 vs. 9.17 3.06, p = 0.2409). There no predicted survival However, a decrease actual observed late (p < 0.001 ; Fisher's Exact Test). Patients who fixed also had significantly higher infectious morbidity 0.00469), stays 0.0226), total hospital cost 0.0001), compared those immediate, despite having difference average acuity upon 0.3883). Conclusions Delay fixation, admission, increases adversely affects utilization.