Investigating factors affecting the delay in surgery and the increase in one-month mortality of patients with proximal femur fractures in patients referred to Shahid Madani Alborz Hospital during 2020-2021

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Azar Sina Salman; Najafi Arvin; Mirhosseini Mohammad Sajjad; Yazdani Shahrooz; Shibani Mohammad; Khani Yosef; Bahramian Mehran; Baniamrian Arash

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Journal Paper

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Journal: Alborz University Medical Journal Year:2023 | Volume:12 | Issue:Supplement Page(s): 9-18

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Title

Investigating factors affecting the delay in surgery and the increase in one-month mortality of patients with proximal femur fractures in patients referred to Shahid Madani Alborz Hospital during 2020-2021

Author(s)

Keywords

Proximal femur fracture

delay in surgery

complications after surgery

Abstract

Introduction and goal: With the aging of the population, hip fracture in the elderly has become a growing medical and social concern. Whether early surgery is beneficial in such patients is a long-standing debate and a constant clinical concern in the management of patients with hip fracture. Is What seeming necessary is to review the guidelines on how to deal with such patients in different health care systems. Therefore, this study was conducted with the aim of investigating factors affecting the delay in surgery and the increase in one-month mortality of patients with Proximal femur fractures in patients referred to Shahid Madani Alborz Hospital during 2020-2021. materials and methods: This cross-sectional analytical study was conducted on 126 patients in Shahid Madani Hospital in Karaj city during the years 2013-1400. Patients were divided into six groups according to the time taken until surgery (less than 24 hours to more than 120 hours). After that, the death and its cause in one month after the surgery were investigated by phone calls and examination of patients' files in the clinic. Data were collected using pre-designed forms and information recorded in patients' files, as well as using the same device and operator for each patient. findings: Among the 126 patients included in the study, 103 (81. 74) were women and 13 (18. 26) were men. 4 patients (2. 5%) underwent urgent surgery. 17 patients (13. 8%) underwent surgery within 24 hours after admission and 82 patients (64. 9%) underwent surgery more than 48 hours after admission. The results showed that the mortality rate increases significantly with a delay of more than 120 hours. Lack of available operating room for planned surgery (60. 3%) was the most common cause of surgical delay. Older age, dementia, and the need for assistance with activities of daily living before the fracture were also associated with higher rates of medical complications. Conclusion: In summary, our study showed that very long delays increase the patient's stay in the hospital and thus may increase the risk of mortality and some medical complications.

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