Correlation Between Operative Timing And Prognosis Of Elderly Hip Fracture

Objective To explore the effect of surgical timing on the prognosis of elderly patients with hip fracture and reasonable preoperative waiting time range.Method Retrospective analysis of 237 elderly patients with hip fractures who were hospitalized in our department from January 2013 to January 2018.There were 83 males and 154 females.According to the time from injury to operation time,All patients were divided into early operation group(<48h),delayed operation group(48h~72h),and late operation group(>72h).The preoperative general clinical data and surgical related indexes of the three groups of patients were collected and analyzed.The differences in postoperative complications,hospitalization time,hip function score and mortality in the postoperative month were analyzed.Results There were no significant differences in gender,age,fracture type,basal complication,ASA grading,preoperative hip function score,surgical procedure,operation time and intraoperative blood loss in the three groups(P>0.05).In terms of postoperative complications,the differences in respiratory complication were statistically significant(P<0.05).Postoperative complications occurred in 6 patients(9.7%)in the early group,14 patients in the delayed group(16.7%),and 26 patients in the late group(28.6%).The difference between the three groups was statistically significant(P<0.05).The postoperative complications of the early group were significantly lower than those of the late group(P<0.01).The length of hospital stay in the early group was shorter than that in the delayed group and the late group(P<0.05).One month after operation,the average score of hip function score in early group was 7.63(95% CI: 4.56-10.70)higher than that in late group(P<0.01),and the average score of delayed group was 6.29(95% CI: 3.48-9.11)higher than that of late group(P<0.01).There was no significant difference in mortality between the three groups after 1,3,6 months and 1 year(P>0.05).Conclusions Early surgical treatment in elderly patients with hip fracture after injury can reduce the incidence of complications,promote early recovery of hip function,facilitate functional exercise and shorten hospitalization time,but there is no significant correlation between operative timing and mortality.