Is there a weekend effect in hip fracture patients presenting to a United Kingdom teaching hospital?

John Abraham Mathews; Madhavi Vindlacheruvu; Vikas Khanduja

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Is there a weekend effect in hip fracture patients presenting to a United Kingdom teaching hospital?

Is there a weekend effect in hip fracture patients presenting to a United Kingdom teaching hospital?

作者：

John Abraham Mathews Madhavi Vindlacheruvu Vikas Khanduja

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WEEKEND

HIP

Fracture

MORTALITY

SEASON

摘要：

AIM To compare mortality and time-to-surgery of patients admitted with hip fracture to our teaching hospital on weekdays vs weekends.METHODS Data was prospectively collected and retrospectively analysed for 816 hip fracture patients.Multivariate logistic regression was carried out on 3 binary outcomes(timeto-surgery<36 h;30-d mortality;120-d mortality),using the explanatory variables time-of-admission;age;gender;American Society of Anesthesiologist(ASA)grade;abbreviated mental test score(AMTS);fracture type;accommodation admitted from;walking ability outdoors;accompaniment outdoors and season.RESULTS Baseline characteristics were not statistically different between those admitted on weekdays vs weekends.Weekend admission was not associated with an increased time-to-surgery(P=0.975),30-d mortality(P=0.842)or 120-d mortality(P=0.425).Gender(P=0.028),ASA grade(P<0.001),AMTS(P=0.041)and accompaniment outdoors(P=0.033)were significant covariates for 30-d mortality.Furthermore,age(P<0.001),gender(P=0.011),ASA grade(P<0.001),AMTS(P<0.001)and accompaniment outdoors(P=0.033)all significantly influenced mortality at 120 d.ASA(P<0.001)and season(P=0.014)had significant effect on the odds of undergoing surgery in under 36 h.CONCLUSION Weekend admission was not associated with increased time-to-surgery or mortality in hip fracture patients.Demographic factors affect mortality in accordance with previous published reports.

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篇名	Is there a weekend effect in hip fracture patients presenting to a United Kingdom teaching hospital?
来源期刊	世界骨科杂志	学科	医学
关键词	WEEKEND HIP Fracture MORTALITY SEASON
年，卷（期）	2016,（10）	所属期刊栏目
研究方向		页码范围	678-686
页数	9页	分类号	R
字数		语种
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