Time from admission to surgery in polish patients with hip fractures : Temporal trends in the last decade and association with duration of hospitalization and inhospital mortality
Polok, Kamil (Jagiellonian University Medical College)
Pilecki, Zbigniew (CMS Sports Medicine Center)
Kutaj-Wąsikowska, Halina (National Center for Quality Assessment in Health Care)
Kutryba, Barbara (National Center for Quality Assessment in Health Care (NCQA))
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Pilecki, Grzegorz (CMS Sports Medicine Center)
Górka, Jacek (Jagiellonian University Medical College)
Fronczek, Jakub (Jagiellonian University Medical College)
Szczeklik, Wojciech (Jagiellonian University Medical College)

Data:	2020
Resum:	IntroductIon Hip fracture is an important cause of morbidity and mortality among elderly patients world- wide. It poses a particular challenge for healthcare systems with limited financial and human resources. objEctIvEs The aim of the study was to assess factors associated with the length of hospital stay and in-hospital mortality, focusing on the time from admission to surgery. The secondary goal was to assess temporal trends in the intervals of admission to surgery between 2010 and 2011 and in 2019. PAtIEnts And mEthods This was a cross-sectional study enrolling patients aged 65 years or older who underwent surgery for hip fracture between January 2010 and October 2011 in 12 Polish hospitals. Demographic and clinical data, dates of hospital admission and surgery as well as information about in-hospital death were gathered. We additionally searched the databases of the same 12 hospitals for patients hospitalized due to hip fracture between January and June 2019 and recorded the dates of admission and surgery. rEsuLts We included 381 patients who underwent surgery in 2010 and 2011 and 761 patients hospi- talized in 2019. In a multivariable analysis, including age, sex, and diagnosis of dementia, we observed association between time from admission to surgery and higher in-hospital mortality and longer hospital stay. There was a decrease in proportion of patients undergoing surgery within 2 days from admission (52. 8% vs 44. 3%; P = 0. 007) between 2010 to 2011 and in 2019. concLusIons In-hospital mortality and length of hospitalization were associated with time from admis- sion to surgery in patients undergoing surgery for hip fracture. We observed an alarming trend towards an increase in the admission-surgery interval.
Ajuts:	European Commission 24188
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra, i la creació d'obres derivades, sempre que no sigui amb finalitats comercials i que es distribueixin sota la mateixa llicència que regula l'obra original. Cal que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Healthcare ; Hip fractures ; Patient outcome assessment ; Quality indicators
Publicat a:	Polish Archives of Internal Medicine, Vol. 130 Núm. 6 (2020) , p. 506-511, ISSN 1897-9483

DOI: 10.20452/pamw.15342

6 p, 188.5 KB

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