No 'weekend effect' in hip fracture surgery, study finds — 4 notes

Orthopedic

Hip fracture surgery patients do not suffer greater adverse outcomes if they are admitted to a hospital over the weekend, a study in The Surgeon concluded.

Here are four things to know:

1. Study authors used a prospective database to identify 1,326 patients who underwent acute hip fracture surgery. Of the total patients 368 were admitted over a weekend and 411 underwent surgery over a weekend.

2. There were no significant differences in outcomes based on the day of admission or the day of surgery.

3. Overall, 30-day mortality was 7.6 percent. Significant predictors of mortality included:

  • Admission urea levels
  • Age
  • Admission source
  • Surgical delay
  • Male sex
  • Previous stroke
  • Acute chest infection
  • Chronic liver disease

4. Study authors concluded mortality was affected by delays to surgery and patient comorbidities rather than the "weekend effect."

 

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