Matches in SemOpenAlex for { <https://semopenalex.org/work/W2316575176> ?p ?o ?g. }
Showing items 1 to 100 of
100
with 100 items per page.
- W2316575176 endingPage "453" @default.
- W2316575176 startingPage "447" @default.
- W2316575176 abstract "Background: There is a perception that after-hours hip surgery may result in increased complication rates. Surgeon fatigue, decreased availability of support staff, and other logistical factors may play an adverse role. However, there are little data supporting this perception in the hip fracture literature. We present a retrospective study comparing outcomes of hip fracture surgeries performed after hours versus regular daytime hours and outcomes before and after implementation of a dedicated orthopedic trauma room staffed by a fellowship trained traumatologist. Methods: A retrospective study of 767 consecutive patients with intertrochanteric, subtrochanteric, or femoral neck fractures was performed for the years 2000 to 2006. Surgeries were stratified by time of incision into two groups: day (07:00 am–05:59 pm) and night (06:00 pm–06:59 pm). Each group was further divided into a period before the implementation of a trauma room and the period after (August 2004). Records were examined for procedure length, intraoperative blood loss, complications (nonunion, implant failure, infection, deep vein thrombosis, pulmonary embolus, and refracture), reoperation, and mortality. Results: Four hundred ninety-nine patients were included the day group and 268 in the night group. There were no differences in terms of age, ethnicity, American Society of Anesthesiologists status, total number of comorbidities, and fracture type between groups. There were significantly more females in the night group than the day group. Intertrochanteric fractures were 64% of all fractures, femoral neck fractures were 34%, and subtrochanteric fractures were 2%. Duration of surgery for Dynamic Hip System procedures was significantly longer in the night group and also before the trauma room became available. These differences in duration of surgery also correlate with blood loss differences between the groups. Intramedullary nails also took longer to do at night. Hemiarthroplasties demonstrated no significant differences. The 1-year and 2-year mortalities of hip fracture patients operated during daytime hours in a trauma room (13 and 15%, respectively) were significantly less than they were before the implementation of the trauma room (25 and 37%, respectively). When the effect of the trauma room was eliminated, there were no significant differences between overall daytime and nighttime mortalities at 1 month, 1 year, and 2 years. There were no significant differences in other complications noted between the different groups. Conclusions: We recommend that nighttime surgery should not be dismissed in hip fracture patients that would otherwise benefit from an early operation. However, there seems to be a decreasing trend in mortality when hip fractures are operated in a dedicated daytime trauma room staffed by a dedicated traumatologist." @default.
- W2316575176 created "2016-06-24" @default.
- W2316575176 creator A5013526216 @default.
- W2316575176 creator A5023189524 @default.
- W2316575176 creator A5028081155 @default.
- W2316575176 creator A5056251418 @default.
- W2316575176 creator A5058651275 @default.
- W2316575176 creator A5079416425 @default.
- W2316575176 date "2011-08-01" @default.
- W2316575176 modified "2023-09-27" @default.
- W2316575176 title "Does Late Night Hip Surgery Affect Outcome?" @default.
- W2316575176 cites W1547997477 @default.
- W2316575176 cites W2043474712 @default.
- W2316575176 cites W2053172055 @default.
- W2316575176 cites W2084340003 @default.
- W2316575176 cites W2086116953 @default.
- W2316575176 cites W2114067088 @default.
- W2316575176 cites W2115120145 @default.
- W2316575176 cites W2122675672 @default.
- W2316575176 cites W2173055017 @default.
- W2316575176 cites W275299522 @default.
- W2316575176 cites W3143377855 @default.
- W2316575176 cites W4376596136 @default.
- W2316575176 doi "https://doi.org/10.1097/ta.0b013e3182231ad7" @default.
- W2316575176 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21825947" @default.
- W2316575176 hasPublicationYear "2011" @default.
- W2316575176 type Work @default.
- W2316575176 sameAs 2316575176 @default.
- W2316575176 citedByCount "58" @default.
- W2316575176 countsByYear W23165751762012 @default.
- W2316575176 countsByYear W23165751762013 @default.
- W2316575176 countsByYear W23165751762014 @default.
- W2316575176 countsByYear W23165751762015 @default.
- W2316575176 countsByYear W23165751762016 @default.
- W2316575176 countsByYear W23165751762017 @default.
- W2316575176 countsByYear W23165751762018 @default.
- W2316575176 countsByYear W23165751762019 @default.
- W2316575176 countsByYear W23165751762020 @default.
- W2316575176 countsByYear W23165751762021 @default.
- W2316575176 countsByYear W23165751762022 @default.
- W2316575176 countsByYear W23165751762023 @default.
- W2316575176 crossrefType "journal-article" @default.
- W2316575176 hasAuthorship W2316575176A5013526216 @default.
- W2316575176 hasAuthorship W2316575176A5023189524 @default.
- W2316575176 hasAuthorship W2316575176A5028081155 @default.
- W2316575176 hasAuthorship W2316575176A5056251418 @default.
- W2316575176 hasAuthorship W2316575176A5058651275 @default.
- W2316575176 hasAuthorship W2316575176A5079416425 @default.
- W2316575176 hasConcept C126322002 @default.
- W2316575176 hasConcept C141071460 @default.
- W2316575176 hasConcept C167135981 @default.
- W2316575176 hasConcept C195910791 @default.
- W2316575176 hasConcept C2775854910 @default.
- W2316575176 hasConcept C2776541429 @default.
- W2316575176 hasConcept C2776767379 @default.
- W2316575176 hasConcept C2778885795 @default.
- W2316575176 hasConcept C2778959117 @default.
- W2316575176 hasConcept C2779330695 @default.
- W2316575176 hasConcept C2780554211 @default.
- W2316575176 hasConcept C2780868729 @default.
- W2316575176 hasConcept C68312169 @default.
- W2316575176 hasConcept C71924100 @default.
- W2316575176 hasConcept C81182388 @default.
- W2316575176 hasConceptScore W2316575176C126322002 @default.
- W2316575176 hasConceptScore W2316575176C141071460 @default.
- W2316575176 hasConceptScore W2316575176C167135981 @default.
- W2316575176 hasConceptScore W2316575176C195910791 @default.
- W2316575176 hasConceptScore W2316575176C2775854910 @default.
- W2316575176 hasConceptScore W2316575176C2776541429 @default.
- W2316575176 hasConceptScore W2316575176C2776767379 @default.
- W2316575176 hasConceptScore W2316575176C2778885795 @default.
- W2316575176 hasConceptScore W2316575176C2778959117 @default.
- W2316575176 hasConceptScore W2316575176C2779330695 @default.
- W2316575176 hasConceptScore W2316575176C2780554211 @default.
- W2316575176 hasConceptScore W2316575176C2780868729 @default.
- W2316575176 hasConceptScore W2316575176C68312169 @default.
- W2316575176 hasConceptScore W2316575176C71924100 @default.
- W2316575176 hasConceptScore W2316575176C81182388 @default.
- W2316575176 hasIssue "2" @default.
- W2316575176 hasLocation W23165751761 @default.
- W2316575176 hasLocation W23165751762 @default.
- W2316575176 hasOpenAccess W2316575176 @default.
- W2316575176 hasPrimaryLocation W23165751761 @default.
- W2316575176 hasRelatedWork W2036630114 @default.
- W2316575176 hasRelatedWork W2371339690 @default.
- W2316575176 hasRelatedWork W2383536510 @default.
- W2316575176 hasRelatedWork W2389256096 @default.
- W2316575176 hasRelatedWork W2474039552 @default.
- W2316575176 hasRelatedWork W2616933656 @default.
- W2316575176 hasRelatedWork W2801779377 @default.
- W2316575176 hasRelatedWork W2986780646 @default.
- W2316575176 hasRelatedWork W2998565541 @default.
- W2316575176 hasRelatedWork W3013621427 @default.
- W2316575176 hasVolume "71" @default.
- W2316575176 isParatext "false" @default.
- W2316575176 isRetracted "false" @default.
- W2316575176 magId "2316575176" @default.
- W2316575176 workType "article" @default.