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Volume 18
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10.3390/ijerph18062848
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Article

Associations between Hip Fracture Operation Waiting Time and Complications in Asian Geriatric Patients: A Taiwan Medical Center Study

by
Ching-Yi Shen
1,2,
Chien-Han Hsiao
3,
Weide Tsai
1,2,4,
Wen-Han Chang
1,2,4,5 and
Tse-Hao Chen
1,*
1
Department of Emergency Medicine, Mackay Memorial Hospital, Taipei 104, Taiwan
2
Department of Medicine, Mackay Medical College, New Taipei City 252, Taiwan
3
Department of Linguistics, Indiana University, Bloomington, IN 47405, USA
4
MacKay Junior College of Medicine, Nursing, and Management, Taipei 112, Taiwan
5
Institute of Mechatronic Engineering, National Taipei University of Technology, Taipei 106, Taiwan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(6), 2848; https://doi.org/10.3390/ijerph18062848
Submission received: 3 February 2021 / Revised: 28 February 2021 / Accepted: 8 March 2021 / Published: 11 March 2021
(This article belongs to the Special Issue The Burden of Orthopedic Surgery)
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Abstract

Early surgical intervention in hip fractures is associated with lower complications. This study aimed to determine the appropriate operation time among Asian geriatric patients. The data of 1118 elderly patients with hip fracture at Mackay Memorial Hospital from 1 January 2011, to 31 July 2019, were retrospectively examined. Association between operation waiting time and the occurrence of complications was calculated using a cubic spline model. Significantly increased incidence of pneumonia, myocardial infarction, and heart failure was observed in 30 and 90 days when the patient’s surgical waiting time exceeded 36 h. The incidence rates of pneumonia across the early and delayed groups within 30 and 90 days were 4.4% vs. 7.9%, and 6.2% vs. 10.7%, those of myocardial infarction were 3.0% vs. 7.2%, and 5.7% vs. 9.3%, and those of heart failure were 15.2% vs. 26.8%, and 16.2% vs. 28.5%. Deep vein thrombosis and pulmonary embolism were not associated with surgical delay. The overall 30-day mortality rate was 5.4%, and no significant difference was observed when the surgical waiting time exceeded 36 h. In summary, operation waiting time exceeding 36-h was associated with increased rates of pneumonia, myocardial infarction, and heart failure in Asian geriatric patients undergoing hip fracture surgery.
Keywords: geriatric; hip fracture; operation waiting time; Asian; complication geriatric; hip fracture; operation waiting time; Asian; complication

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MDPI and ACS Style

Shen, C.-Y.; Hsiao, C.-H.; Tsai, W.; Chang, W.-H.; Chen, T.-H. Associations between Hip Fracture Operation Waiting Time and Complications in Asian Geriatric Patients: A Taiwan Medical Center Study. Int. J. Environ. Res. Public Health 2021, 18, 2848. https://doi.org/10.3390/ijerph18062848

AMA Style

Shen C-Y, Hsiao C-H, Tsai W, Chang W-H, Chen T-H. Associations between Hip Fracture Operation Waiting Time and Complications in Asian Geriatric Patients: A Taiwan Medical Center Study. International Journal of Environmental Research and Public Health. 2021; 18(6):2848. https://doi.org/10.3390/ijerph18062848

Chicago/Turabian Style

Shen, Ching-Yi, Chien-Han Hsiao, Weide Tsai, Wen-Han Chang, and Tse-Hao Chen. 2021. "Associations between Hip Fracture Operation Waiting Time and Complications in Asian Geriatric Patients: A Taiwan Medical Center Study" International Journal of Environmental Research and Public Health 18, no. 6: 2848. https://doi.org/10.3390/ijerph18062848

APA Style

Shen, C.-Y., Hsiao, C.-H., Tsai, W., Chang, W.-H., & Chen, T.-H. (2021). Associations between Hip Fracture Operation Waiting Time and Complications in Asian Geriatric Patients: A Taiwan Medical Center Study. International Journal of Environmental Research and Public Health, 18(6), 2848. https://doi.org/10.3390/ijerph18062848

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