Two surgical pathways for isolated hip fractures: A comparative study

doi:10.5312/wjo.v14.i6.399

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

World J Orthop. Jun 18, 2023; 14(6): 399-410
Published online Jun 18, 2023. doi: 10.5312/wjo.v14.i6.399

Table 2 Characteristics of propensity matched patients admitted through the trauma pathway and medical pathways, n (%)

Variable	Trauma, n = 66	Medicine, n = 66	P value
Age	75.0 (14.5)	75.0 (13.3)	0.990
Sex, female/male	41 (62.1)/25 (37.9)	41 (62.1)/25 (37.9)	1.000
ASA Score before hip surgery	-	-	0.498
II	19 (28.8)	23 (34.8)	-
III	41 (62.1)	40 (60.6)	-
IV	6 (9.1)	3 (4.5)	-
Hip fracture type	-	-	0.057
Femoral neck/head	27 (40.9)	25 (37.9)	-
Intertrochanteric	34 (51.5)	41 (62.1)	-
Intertrochanteric with subtrochanteric	5 (7.6)	0 (0.0)	-
Hip surgery type	-	-	0.650
Total arthroplasty	4 (6.1)	6 (9.1)	-
Hemi arthroplasty	15 (22.7)	10 (15.2)	-
Open reduction and internal fixation	45 (68.2)	47 (71.2)	-
Pinning	2 (3.0)	3 (4.5)	-
Geriatric	47 (71.2)	49 (74.2)	0.696
BMI	24.9 (6.6)	24.9 (5.0)	0.988
Comorbidities	62 (93.9)	62 (93.9)	1.000
Cardiac comorbidities	47 (71.2)	48 (72.7)	0.846
Anticoagulation	32 (48.5)	27 (40.9)	0.381
Mechanism of injury, Fall/MVC	51 (77.3)/15 (22.7)	64 (97.0)/2 (3.0)	0.001^a
Admission day	-	-	0.401
Monday	9 (13.6)	7 (10.6)	-
Tuesday	11 (16.7)	8 (12.1)	-
Wednesday	16 (24.2)	10 (15.2)	-
Thursday	5 (7.6)	12 (18.2)	-
Friday	10 (15.2)	13 (19.7)	-
Saturday	7 (10.6)	10 (15.2)	-
Sunday	8 (12.1)	6 (9.1)	-
Glasgow coma score	14.6 (0.8)	15.0 (0.2)	0.000^a
Hip fracture displacement	50 (75.8)	26 (39.4)	0.000^a
No. of consultations before hip surgery	1.8 (0.9)	1.7 (0.9)	0.198
Consultations before surgery	-	-	-
Cardiology	29 (43.9)	24 (36.4)	0.375
Neurology/neurosurgery	12 (18.2)	1 (1.5)	0.001^a
Pulmonology	2 (3.0)	5 (7.6)	0.244
Time: Admission to hip surgery in h	22.7 (12.7)	23.0 (16.9)	0.892
Orthopedic surgery length in h	1.0 (0.6)	0.7 (0.3)	0.000^a
ICULOS in d	4.5 (4.3)	8.0 (4.6)	0.066
HLOS in d	6.3 (4.5)	6.0 (5.4)	0.709
Mortality	2 (3.0)	0 (0.0)	0.154
Hospital disposition	-	-	0.507
Skilled nursing facility	29 (43.9)	31 (47.0)	-
Rehabilitation	29 (43.9)	26 (39.4)	-
Home	6 (9.1)	9 (13.6)	-
Expired in hospital/hospice	2 (3.0)	0 (0.0)	-
Insurance status	-	-	0.060
Public	48 (72.7)	47 (71.2)	-
Private	10 (15.2)	17 (25.8)	-
Uninsured	8 (12.1)	2 (3.0)	-

^aP < 0.005 denotes significant difference.

ASA: American Society of Anesthesiologists; BMI: Body mass index; HLOS: Hospital length of stay; ICULOS: Intensive care unit length of stay; MVC: Motor vehicle collision; SD: Standard deviation.

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Citation: Fokin AA, Wycech Knight J, Darya M, Stalder R, Puente I, Weisz RD. Two surgical pathways for isolated hip fractures: A comparative study. World J Orthop 2023; 14(6): 399-410
URL: https://www.wjgnet.com/2218-5836/full/v14/i6/399.htm
DOI: https://dx.doi.org/10.5312/wjo.v14.i6.399

Fokin AA, Wycech Knight J, Darya M, Stalder R, Puente I, Weisz RD. Two surgical pathways for isolated hip fractures: A comparative study. World J Orthop 2023; 14(6): 399-410 [PMID: 37377993 DOI: 10.5312/wjo.v14.i6.399]

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