Abstract:
:Hip fractures are associated with a high rate of mortality and profound temporary and sometimes permanent impairment of quality of life. Current guidelines indicate that surgeons should perform surgery for a hip fracture within 24 hours of injury because earlier surgery is associated with better functional outcome and lower rates of perioperative complications and mortality. Proponents of early treatment argue that this approach minimizes the length of time a patient is confined to bed rest, thereby reducing the risk for associated complications, such as pressure sores, deep vein thrombosis, and urinary tract infections. Those favoring delaying surgery beyond the guideline recommendations believe that this approach is required to medically optimize patients, and therefore decrease the risk for perioperative complications. Further challenges to resolving this debate is the lack of an accepted definition of what should constitute an "unacceptable delay" for hip fracture surgery and the fact that outcomes associated with surgical delay are based on observational data alone (i.e., not randomized controlled trials). The effect of preoperative timing on mortality and other patient-important outcomes across various age groups remains controversial and warrants a large randomized controlled trial to offer clear insights into the effects associated with early versus delayed surgery among hip fracture patients.
journal_name
Indian J Orthopjournal_title
Indian journal of orthopaedicsauthors
Simunovic N,Devereaux PJ,Bhandari Mdoi
10.4103/0019-5413.73660subject
Has Abstractpub_date
2011-01-01 00:00:00pages
27-32issue
1eissn
0019-5413issn
1998-3727journal_volume
45pub_type
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journal_title:Indian journal of orthopaedics
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pub_type: 杂志文章
doi:10.4103/0019-5413.197524
更新日期:2017-01-01 00:00:00
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更新日期:2020-04-05 00:00:00
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journal_title:Indian journal of orthopaedics
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doi:10.4103/ortho.IJOrtho_230_17
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2010-10-01 00:00:00