Organizational Factors and Long-Term Mortality after Hip Fracture Surgery. A Cohort Study of 6143 Consecutive Patients Undergoing Hip Fracture Surgery

Caterina A Lund, Ann M Møller, Jørn Wetterslev and Lars H Lundstrøm

PLOS ONE, 2014, vol. 9, issue 6, 1-9

Abstract: Objective: In hospital and health care organizational factors may be changed to reduce postoperative mortality. The aim of this study is to evaluate a possible association between mortality and ‘length of hospital stay’, ‘priority of surgery’, ‘time of surgery’, or ‘surgical delay’ in hip fracture surgery. Design: Observational cohort study. Setting: Prospectively and consecutively reported data from the Danish Anaesthesia Database were linked to The Danish National Registry of Patients and The Civil Registration System. Records on vital status, admittance, discharges, codes of diagnosis, anaesthetic and surgical procedures were retrieved. Participants: 6143 patients aged more than 65 years undergoing hip fracture surgery. Main Outcome Measures: All-cause mortality. Results: The one year mortality was 30% (28–31%, 95% Confidence interval (CI)). In a multivariate model ‘length of hospital stay’ less than 10 days and more than 20 days are associated with mortality with hazard ratios of 1.34 (1.20–1.53 CI, p

Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0099308

DOI: 10.1371/journal.pone.0099308

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