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Patient and hospital-level factors associated with time to surgery after hip fracture in Ireland: Analysis of national audit data 2016–2020 by Mary E. Walsh; Catherine Blake; Cathal D. Walsh; Louise Brent; Jan Sorensen is a Medicine article available to read on EtoBox.
What is Patient and hospital-level factors associated with time to surgery after hip fracture in Ireland: Analysis of national audit data 2016–2020 about?
Introduction In hip fracture care, time to surgery (TTS) is a commonly used quality indicator associated with patient outcomes including mortality. This study aimed to identify patient and hospital-level characteristics associated with TTS in Ireland. Methods National data from the Irish Hip Fracture Database (IHFD) (2016–2020) were analysed along with hospital-level characteristics obtained from a 2020 organisational survey. Generalised linear model regression was used to explore the association of TTS with case-mix, surgical details, hospital-level staffing and specific protocols recommended to expedite surgery. Results A total of 14,951 patients with surgically treated hip fracture from 16 hospitals were included (Mean age= 80.6 years (SD=8.8), 70.4% female). Mean TTS was 40.9 h (SD=60.3 h). Case-mix factors associated with longer TTS were male sex and higher American Society of Anaesthesiologists (ASA) grade. Other factors found to be associated with longer TTS included low pre-morbid mobility, inter-hospital transfer, weekday presentation, pre-operative medical physician assessment, intracapsular fracture type, arthroplasty surgery, general anaesthesia, consultant grade of sur
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- Author
- Mary E. Walsh; Catherine Blake; Cathal D. Walsh; Louise Brent; Jan Sorensen
- Publisher
- Elsevier BV
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)