Mortality associated with delay in operation after hip fracture: observational study
作者： Alex Bottle , Paul Aylin
DOI: 10.1136/BMJ.38790.468519.55
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摘要: Abstract Objective To estimate the number of deaths and readmissions associated with delay in operation after femoral fracture. Design Analysis inpatient hospital episode statistics. Setting NHS trusts England at least 100 admissions for fractured neck femur during study period. Patients People aged ≥ 65 admitted from home discharged between April 2001 March 2004. Main outcome measures In mortality emergency readmission within 28 days. Results There were 129 522 151 18 508 (14.3%). Delay was an increased risk death hospital, which reduced but persisted adjustment comorbidity. For all odds ratio more than one day9s relative to day or less 1.27 (95% confidence interval 1.23 1.32) The proportion two days9 ranged 1.1% 62.4% trusts. If rates patients most had been repeated throughout this study, there would have average 581 (478 683) fewer total per year (9.4% total). little evidence association readmission. Conclusions is not a femur, even comorbidity, wide variation
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