{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T21:39:54Z","timestamp":1791409194481,"version":"4.3.3"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To evaluate the association between the timing of hip fracture surgery with postoperative length of stay and outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective review using the American College of Surgeons National Surgical Quality Improvement Program database.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>National inquiry database incorporating 140 academic and private medical centers.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>Seventeen thousand four hundred fifty-nine patients who underwent surgery for a hip fracture between 2006 and 2013 were identified from the National Surgical Quality Improvement Program database.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Surgical management of hip fractures was performed at the discretion of participating surgeons.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Outcome Measure:<\/jats:title>\n            <jats:p>Thirty-day outcomes including postoperative length of stay, readmission rates, reoperation rates, complications, and mortality rates.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Of the 17,459 patients, 4107 (23.5%) were operated on within 24 hours, 8740 (50.1%) within 24\u201348 hours, and 4612 (26.4%) more than 48 hours after hospital admission. Increased time to surgery was associated with longer postoperative hospital length of stay. Prolonged time to surgery did not adversely affect postoperative outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Although a delay in the management of hip fractures is associated with an increase in postoperative hospital length of stay, 30-day postoperative outcomes are not adversely affected in patients undergoing hip fracture fixation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001306","type":"journal-article","created":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T01:28:58Z","timestamp":1538962138000},"page":"629-633","source":"Crossref","is-referenced-by-count":48,"title":["Delay in Hip Fracture Surgery Prolongs Postoperative Hospital Length of Stay but Does Not Adversely Affect Outcomes at 30 Days"],"prefix":"10.1097","volume":"32","author":[{"given":"Sean M.","family":"Mitchell","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Arizona, Phoenix, AZ;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew S.","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Arizona, Phoenix, AZ;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph B.","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Arizona, Phoenix, AZ;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua W.","family":"Hustedt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Arizona, Phoenix, AZ;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George V.","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Mississippi Medical Center, Jackson, MS; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clifford B.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Arizona, Phoenix, AZ;"},{"name":"The CORE Institute, Phoenix, AZ."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1 suppl","key":"R1-20230928","doi-asserted-by":"crossref","first-page":"57s","DOI":"10.1016\/8756-3282(95)00381-9","article-title":"Epidemiology of hip fractures","volume":"18","author":"Kannus","year":"1996","journal-title":"Bone."},{"key":"R2-20230928","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1177\/2151458510378105","article-title":"The 1-year mortality of patients treated in a hip fracture program for elders","volume":"1","author":"Schnell","year":"2010","journal-title":"Geriatr Orthop Surg Rehabil."},{"key":"R3-20230928","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1177\/2151458514537273","article-title":"Timing of hip fracture surgery in the elderly","volume":"5","author":"Lee","year":"2014","journal-title":"Geriatr Orthop Surg Rehabil."},{"key":"R4-20230928","first-page":"115","article-title":"The effects of time-to-surgery on mortality in elderly patients following hip fractures","volume":"34","author":"Trpeski","year":"2013","journal-title":"Pril (Makedon Akad Nauk Umet Odd Med Nauki)."},{"key":"R5-20230928","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1097\/BOT.0000000000000313","article-title":"Delay in hip fracture surgery: an analysis of patient-specific and hospital-specific risk factors","volume":"29","author":"Ryan","year":"2015","journal-title":"J Orthop Trauma."},{"key":"R6-20230928","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1016\/j.injury.2012.08.025","article-title":"Early and ultra-early surgery in hip fracture patients improves survival","volume":"44","author":"Uzoigwe","year":"2013","journal-title":"Injury."},{"key":"R7-20230928","doi-asserted-by":"crossref","first-page":"e46175","DOI":"10.1371\/journal.pone.0046175","article-title":"Timing matters in hip fracture surgery: patients operated within 48 hours have better outcomes. 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