{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:27:02Z","timestamp":1788348422797,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T00:00:00Z","timestamp":1720051200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Studies have demonstrated beneficial outcomes associated with timely surgical treatment of hip fracture. Subsequently, practice recommendations changed with 24\u201348\u2009h as the recommended time for surgery from admission; however, recent data on timing of hip fracture surgery and how this impacts outcomes are lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients who had a primary diagnosis of hip fracture and underwent a subsequent surgical repair within 3\u2009days of admission (Premier Healthcare claims 2006\u20132021 data). The primary exposure of interest was time from hip fracture diagnosis to surgery (categorized as 0\u20131\u2009day, 2\u2009days, and 3\u2009days). Outcomes included any major complication, mortality, and intensive care unit (ICU) admission. Mixed\u2010effects models measured the association between timing of surgery and outcomes. We report odds ratios (OR) and 95% confidence intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 501,267 surgical hip fracture patients, 26.0%, 56.0%, and 18.1% of patients received surgery on days 0\u20131, 2, and 3, respectively. The median ages were 83, 84, and 84\u2009years old, and there were 73.3%, 72.2%, and 68.8% female in each group respectively. Compared with repair on day 0\u20131, hip fracture surgical treatment on day 2 or day 3 was associated with increased odds of major complications (OR 1.06, 95% CI 1.03\u20131.08 and OR 1.17, 95% CI 1.13\u20131.2), mortality (OR 1.08, 95% CI 1.02\u20131.14 and OR 1.2, 95% CI 1.12\u20131.28), and ICU admission (OR 1.06, 95% CI 1.04\u20131.09 and OR 1.36, 95% CI 1.32\u20131.4) after adjusting major comorbidities; all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the publication of society guidelines in 2015, most fracture patients still received surgery on day 2 or day 3 of admission and were associated with worse outcomes. Balancing optimization of clinical factors with timing of surgery can be challenging, and further research is needed. Nonetheless, our findings reiterate the importance of timely surgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19063","type":"journal-article","created":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T06:54:06Z","timestamp":1720076046000},"page":"3492-3500","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Time to surgical treatment for hip fracture care"],"prefix":"10.1111","volume":"72","author":[{"given":"Haoyan","family":"Zhong","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Critical Care &amp; Pain Management Hospital for Special Surgery  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jashvant","family":"Poeran","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care &amp; Pain Management Hospital for Special Surgery  New York New York USA"},{"name":"Department of Orthopaedic Surgery\/Institute for Healthcare Delivery Science, Department of Population Health Science and Policy Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Illescas","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care &amp; Pain Management Hospital for Special Surgery  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Reisinger","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care &amp; Pain Management Hospital for Special Surgery  New York New York USA"},{"name":"Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine Paracelsus Medical University  Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crispiana","family":"Cozowicz","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine Paracelsus Medical University  Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stavros G.","family":"Memtsoudis","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care &amp; Pain Management Hospital for Special Surgery  New York New York USA"},{"name":"Department of Anesthesiology Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiabin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care &amp; Pain Management Hospital for Special Surgery  New York New York USA"},{"name":"Department of Anesthesiology Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.061113"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1611090"},{"key":"e_1_2_9_4_1","unstructured":"AAOS.American Academy of Orthopaedic Surgeons Management of Hip Fractures in Older Adults EvidenceBased Clinical Practice Guideline.https:\/\/www.aaos.org\/quality\/quality219programs\/lower-extremity-programs\/hip-fractures-in-the-elderly\/"},{"key":"e_1_2_9_5_1","volume-title":"Hip Fracture: Management","year":"2011"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B1.BJJ-2020-0546.R1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000215812.13720.2e"},{"key":"e_1_2_9_8_1","unstructured":"Premier healthcare database white paper: Data that informs and performs: Premier Inc.https:\/\/learn.premierinc.com\/white-papers\/premier-healthcare-database-whitepaper"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.04.003"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004519"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00273171.2011.568786"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3102\/10769986023004323"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-023-06713-x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2021.09.006"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-017-4333-4"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac183"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-022-02205-5"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.19063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T15:15:22Z","timestamp":1762182922000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.19063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,4]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/jgs.19063"],"URL":"https:\/\/doi.org\/10.1111\/jgs.19063","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,4]]},"assertion":[{"value":"2023-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}