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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 8, 1123-1126.
doi: 10.1302/0301-620X.87B8.16357  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Delay to surgery prolongs hospital stay in patients with fractures of the proximal femur

A. W. Siegmeth, MD, MRCS, Specialist Registrar (Tr & Orth)1; K. Gurusamy, MRCS, Trust Registrar2; and M. J. Parker, FRCS, Research Fellow1

1 Department of Orthopaedics, Peterborough District Hospital, Thorpe Road, Peterborough PE3 6DA, UK.
2 Department of General Surgery, Stoke Mandeville Hospital, Mandeville Road, Aylesbury HP21 8AL, Buckinghamshire, UK.

Correspondence should be sent to Mr A. W. Siegmeth at 107 York Street, Cambridge CB1 2PZ, Cambridgeshire, UK; e-mail: siegmeth{at}doctors.org.uk

Previous studies on the timing of surgery for fracture of the hip provide conflicting evidence as to the effect of prolonged delay before operation. We have prospectively reviewed 3628 such fractures in patients older than 60 years of age. Those for whom the delay was for medical reasons were excluded. Patients were followed up for one year or until death. Operation was undertaken within 48 hours in 95.2% and after this in 4.8%. A significant increase in length of stay was found in patients operated on after 48 hours when compared with those in the earlier group (21.6 vs 32.5 days). No increase in hospital stay was found for lesser delays.




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Delay to surgery prolongs hospital stay
C G Moran, et al.
J Bone Joint Surg Br Online, 10 Nov 2005 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General