‘Don’t let the sun set twice’ — Hip fracture surgery in older adults most successful upon hospital admission, study shows

Hip fracture surgery for medically stable elderly patients should be performed on the day of hospital admission or the following day to reduce postoperative mortality, according to a study in the Canadian Medical Association Journal.

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Here are four things to know:

1. Researchers used Canadian Institute for Health Information discharge abstracts from 139,119 medically stable hip fracture patients aged 65 or older between 2004 and 2012.

2. Study authors found delaying hip fracture surgery until inpatient day three or longer was associated with a mortality increase of approximately 11 deaths per 1,000 procedures, compared with surgery performed on admission day.

3. In Canada, hospitals admit 30,000 older adults with hip fracture annually. These patients are at an increased risk of death, with up to 5 percent of women and 10 percent of men dying within 30 days of the surgery.

4. According to Vancouver, Canada-based University of British Columbia orthopedic surgeon and study co-author Pierre Guy, MD, clinicians should ‘not let the sun set twice’ before performing hip fracture repair surgery on medically stable older adults, Medscape details.

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