{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:16:38Z","timestamp":1793394998472,"version":"4.5.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In clinical practice, there is no standardized criteria for the optimal timing of hip fracture surgery in the elderly, and there is much controversy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the effect of timing of surgery on postoperative complications and prognosis in elderly patients with hip fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospectively analyzed 636 elderly hip fracture patients over 65\u202fyears old. The patients were divided into early group (&amp;lt; 3\u202fdays), intermediate group (3\u20137\u202fdays) and late group (&amp;gt; 7\u202fdays) according to the time from fracture to surgery, and the three groups were compared with the postoperative in-hospital general conditions, the occurrence of complications, the efficacy and the prognosis. <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.05 indicates that the difference is statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative hospitalization was significantly shorter in the early group than in the intermediate and late groups (9.5\u202f\u00b1\u202f4.2 d vs. 11.9\u202f\u00b1\u202f3.7 d vs. 13.3\u202f\u00b1\u202f4.5 d, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.05). The incidence of postoperative lung infection (2.7% vs. 6.3% vs. 8.4%), deep vein thrombosis (3.9% vs. 6.7% vs. 11.6%), stress ulcers (1.9% vs. 3.6% vs. 7.1%), and pressure ulcers (2.3% vs. 6.7% vs. 7.7%) was the lowest in the early group, followed by the intermediate group, and the highest in the late group (<jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.05). In-hospital mortality was lower in the early group than in the intermediate and late groups (3.5% vs. 8.0% vs. 10.3%). In addition, at 1\u202fmonth postoperatively, Harris scores were significantly higher in the early group than in the intermediate group (87.1\u202f\u00b1\u202f5.3 vs. 82.2\u202f\u00b1\u202f5.6, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001) and in the intermediate group than in the late group (82.2\u202f\u00b1\u202f5.6 vs. 78.4\u202f\u00b1\u202f5.0, <jats:italic>p<\/jats:italic>\u202f=\u202f0.008). At 1\u202fyear postoperatively, the mortality rate was lower in the early group than in the intermediate and late groups (2.4% vs. 6.8% vs. 7.2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Early surgery reduces the incidence of postoperative complications in elderly hip fracture patients, shortens hospitalization time, facilitates early recovery of hip function, and reduces mortality within 1\u202fyear after surgery.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2025.1646938","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T05:49:50Z","timestamp":1759297790000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Effect of timing of surgery on postoperative complications and prognosis in elderly patients with hip fractures"],"prefix":"10.3389","volume":"12","author":[{"given":"Zuobin","family":"Zhuo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weijun","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangxi","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1001\/jama.2024.21653","article-title":"Screening for osteoporosis to prevent fractures: a systematic evidence review for the US preventive services task force","volume":"333","author":"Kahwati","year":"2025","journal-title":"JAMA"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1007\/s11657-024-01393-4","article-title":"Association between a history of major osteoporotic fractures and subsequent hip fracture: a systematic review and meta-analysis","volume":"19","author":"Ariie","year":"2024","journal-title":"Arch Osteoporos"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1810","DOI":"10.1002\/jbmr.2836","article-title":"Risk factors for hip fracture in older men: the osteoporotic fractures in men study (MrOS)","volume":"31","author":"Cauley","year":"2016","journal-title":"J Bone Miner Res Off J Am Soc Bone Miner Res"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"111377","DOI":"10.1016\/j.injury.2024.111377","article-title":"Osteosynthesis, hemiarthroplasty, total hip arthroplasty in hip fractures: all I need to know","volume":"55","author":"Ridha","year":"2024","journal-title":"Injury"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1016\/j.injury.2018.04.015","article-title":"Epidemiology and social costs of hip fracture","volume":"49","author":"Veronese","year":"2018","journal-title":"Injury"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1369","DOI":"10.1016\/j.injury.2016.04.018","article-title":"Quality of life after hip fracture in the elderly: a systematic literature review","volume":"47","author":"Peeters","year":"2016","journal-title":"Injury"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"143","DOI":"10.2147\/cia.S150067","article-title":"Quality of life and psychological consequences in elderly patients after a hip fracture: a review","volume":"13","author":"Alexiou","year":"2018","journal-title":"Clin Interv Aging"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1007\/s00198-025-07459-4","article-title":"A cost-consequence analysis of a community-based rehabilitation programme following hip fracture (fracture in the elderly multidisciplinary rehabilitation-FEMuR III)","volume":"36","author":"Doungsong","year":"2025","journal-title":"Osteoporos Int"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1016\/j.injury.2022.12.008","article-title":"Mortality following hip fracture: trends and geographical variations over the last SIXTY years","volume":"54","author":"Haleem","year":"2023","journal-title":"Injury"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e1291","DOI":"10.5435\/jaaos-d-22-00125","article-title":"AAOS clinical practice guideline summary: Management of hip Fractures in older adults","volume":"30","author":"O'Connor","year":"2022","journal-title":"J Am Acad Orthop Surg"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1594","DOI":"10.3390\/jcm13061594","article-title":"Palliative non-operative Management in Geriatric hip Fracture Patients: when would surgeons abstain from surgery?","volume":"13","author":"Bui","year":"2024","journal-title":"J Clin Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1177\/2151458517713821","article-title":"Hip fractures in elderly people: surgery or no surgery? 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