Abstract
Abstract
OBJECTIVE:
To study the differences in outcomes of early versus delayed surgery in patients with intertrochanteric fractures.
METHODS:
The retrospective chart review was conducted at Aga Khan University Hospital, Karachi, and comprised data of patients who underwent surgery for intertrochanteric hip fractures from 2005 to 2010. A gap of >48hours between the event and the surgery was considered a delayed procedure and its impact on outcome was assessed.
RESULTS:
Of the 190 patients, 138(72.6%) were in the early group and 52(27.3%) in the delayed group. The most common cause for delay of surgery was electrolyte imbalance in 14(27%) patients. Patients with delayed surgery had more comorbidites and higher ASA grades compared to those that underwent early surgery (p
CONCLUSIONS:
In patients with multiple comorbid conditions, expedited optimisation for surgery may be warranted to reduce mortality.
| Original language | Undefined/Unknown |
|---|---|
| Journal | Department of Surgery |
| Publication status | Published - 1 Nov 2015 |