CONTACT US: Contact info
|
Citation |
Thomas CJ, Smith RP, Uzoigwe CE, Braybrooke JR. Bone Joint J. 2014; 96-B(3): 373-378. |
|
Affiliation |
University Hospitals of Leicester NHS Trust, Infirmary Square, LE1 5WW, UK. |
|
Copyright |
(Copyright © 2014, British Editorial Society of Bone and Joint Surgery) |
|
DOI |
|
PMID |
24589794 |
|
Abstract |
We retrospectively reviewed 2989 consecutive patients with a mean age of 81 (21 to 105) and a female to male ratio of 5:2 who were admitted to our hip fracture unit between July 2009 and February 2013. We compared weekday and weekend admission and weekday and weekend surgery 30-day mortality rates for hip fractures treated both surgically and conservatively. After adjusting for confounders, weekend admission was independently and significantly associated with a rise in 30-day mortality (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.02 to 1.9; p = 0.039) for patients undergoing hip fracture surgery. There was no increase in mortality associated with weekend surgery (OR 1.2, 95% CI 0.8 to 1.7; p = 0.39). All hip fracture patients, whether managed surgically or conservatively, were more likely to die as an inpatient when admitted at the weekend (OR 1.4, 95% CI 1.02 to 1.80; p = 0.032), despite our unit having a comparatively low overall inpatient mortality (8.7%). Hip fracture patients admitted over the weekend appear to have a greater risk of death despite having a consultant-led service. Language: en |