{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:50:46Z","timestamp":1787028646635,"version":"build-2736575974"},"reference-count":45,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Seoul National University Hospital Research Fund","award":["06-2003-0630"],"award-info":[{"award-number":["06-2003-0630"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Since the turn of the century, the age-adjusted incidence of proximal femoral fractures has caused a plateau or fall. However, it was anticipated that the number of patients with proximal femoral fractures would rise as life expectancy rose and the population over 80 years old expanded. The aim of this study was to compare the length of hospital stay, complication rate, and mortality in patients with proximal femoral fractures between two different time periods: 20 years ago and the present. Methods: We conducted a retrospective review of medical records of patients aged 65 years and above who underwent surgery for proximal femoral fractures between January 2000 and December 2001 and between January 2020 and December 2021. We collected information on age, gender, fracture type, length of hospital stay, and complication rate. Dates of death were obtained from the Ministry of the Interior and Safety. Results: We included 136 patients who were operated on between 2000 and 2001 and 134 patients between 2020 and 2021. The average age increased significantly from 71.6 years to 79.0 years (p &lt; 0.001). The length of hospital stay decreased dramatically from 15.1 days to 6.0 days (p &lt; 0.001). There was no statistically significant difference in delirium, urinary tract infection, or pneumonia. No difference was found in 30-day or 1-year mortality between the two groups. Conclusions: The complication rate and mortality between the two time periods appeared comparable, although the length of hospital stay decreased substantially. Therefore, we recommend considering expedited discharge from the acute care hospital for elderly hip fracture patients while implementing an individualized approach for better outcomes.<\/jats:p>","DOI":"10.3390\/jcm13133666","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T06:59:58Z","timestamp":1719212398000},"page":"3666","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Trends in Hospital Stay, Complication Rate, and Mortality in Hip Fracture Patients: A Two-Decade Comparison at a National Tertiary Referral Center"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1075-0580","authenticated-orcid":false,"given":"Young-Seung","family":"Ko","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Hallym University Dong-Tan Sacred Heart Hospital, Hwaseong 18450, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7347-1733","authenticated-orcid":false,"given":"Sang Yoon","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul 03080, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han Jin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hanil General Hospital, Seoul 01450, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong Seok","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul 03080, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong Joon","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul 03080, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Lennox, L., Myint, P.K., Baliga, S., and Farrow, L. (2024). The Impact of Hospital Transfers on Surgical Delay and Associated Postoperative Outcomes for Hip Fracture Patients in Scotland: A Cohort Study. J. Clin. Med., 13.","DOI":"10.3390\/jcm13092546"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"420","DOI":"10.4055\/cios.2017.9.4.420","article-title":"Trend in the Age-Adjusted Incidence of Hip Fractures in South Korea: Systematic Review","volume":"9","author":"Lee","year":"2017","journal-title":"Clin. Orthop. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"150","DOI":"10.5371\/hp.2022.34.3.150","article-title":"Analyzing the Risk Factors of Mortality after Osteoporotic Hip Fractures Using the National Health Insurance Service Sample Cohort 2.0 Database","volume":"34","author":"Chung","year":"2022","journal-title":"Hip Pelvis"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.3346\/jkms.2018.33.e27","article-title":"Osteosarcopenia in Patients with Hip Fracture Is Related with High Mortality","volume":"33","author":"Yoo","year":"2018","journal-title":"J. Korean Med. Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2379","DOI":"10.1111\/jgs.17905","article-title":"Prevalence of sarcopenia and mortality rate in older adults with hip fracture","volume":"70","author":"Kim","year":"2022","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/BF01625236","article-title":"The cost of treating hip fractures in the twenty-first century: Short report","volume":"6","author":"Hollingworth","year":"1996","journal-title":"Osteoporos. Int."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2239","DOI":"10.1007\/s00198-012-1964-3","article-title":"A systematic review of hip fracture incidence and probability of fracture worldwide","volume":"23","author":"Kanis","year":"2012","journal-title":"Osteoporos. Int."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1007\/s00198-011-1601-6","article-title":"Secular trends in the incidence of hip and other osteoporotic fractures","volume":"22","author":"Cooper","year":"2011","journal-title":"Osteoporos. Int."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e068465","DOI":"10.1136\/bmjopen-2022-068465","article-title":"Development and validation of a novel nomogram of 1-year mortality in the elderly with hip fracture: A study of the MIMIC-III database","volume":"13","author":"Chen","year":"2023","journal-title":"BMJ Open"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"380","DOI":"10.7326\/0003-4819-152-6-201003160-00008","article-title":"Meta-analysis: Excess mortality after hip fracture among older women and men","volume":"152","author":"Haentjens","year":"2010","journal-title":"Ann. Intern. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1097\/EDE.0000000000001321","article-title":"Trends in Hip Fracture Incidence, Recurrence, and Survival by Education and Comorbidity: A Swedish Register-based Study","volume":"32","author":"Meyer","year":"2021","journal-title":"Epidemiology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1001\/jama.2009.1462","article-title":"Incidence and mortality of hip fractures in the United States","volume":"302","author":"Brauer","year":"2009","journal-title":"JAMA"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1359\/jbmr.061113","article-title":"Incidence and economic burden of osteoporosis-related fractures in the United States, 2005\u20132025","volume":"22","author":"Burge","year":"2007","journal-title":"J. Bone Min. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2725","DOI":"10.1007\/s00198-013-2375-9","article-title":"The impact of decreasing U.S. hip fracture rates on future hip fracture estimates","volume":"24","author":"Stevens","year":"2013","journal-title":"Osteoporos. Int."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"12734","DOI":"10.1038\/s41598-023-40087-8","article-title":"Epidemiology and treatment of proximal femoral fractures in the elderly U.S. population","volume":"13","author":"Walter","year":"2023","journal-title":"Sci. Rep."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1016\/S0140-6736(09)61460-4","article-title":"Ageing populations: The challenges ahead","volume":"374","author":"Christensen","year":"2009","journal-title":"Lancet"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Nijdam, T., Schiepers, T., Laane, D., Schuijt, H.J., van der Velde, D., and Smeeing, D. (2024). The Impact of Implementation of Palliative, Non-Operative Management on Mortality of Operatively Treated Geriatric Hip Fracture Patients: A Retrospective Cohort Study. J. Clin. Med., 13.","DOI":"10.3390\/jcm13072012"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2575","DOI":"10.1007\/s00198-011-1596-z","article-title":"Geographic trends in incidence of hip fractures: A comprehensive literature review","volume":"22","author":"Cheng","year":"2011","journal-title":"Osteoporos. Int."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"37","DOI":"10.5694\/j.1326-5377.2010.tb03400.x","article-title":"Evidence-based guidelines for the management of hip fractures in older persons: An update","volume":"192","author":"Mak","year":"2010","journal-title":"Med. J. Aust."},{"key":"ref_20","doi-asserted-by":"crossref","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":"ref_21","doi-asserted-by":"crossref","unstructured":"Konstantinou, P., Kostretzis, L., Fragkiadakis, G., Touchtidou, P., Mavrovouniotis, A., Davitis, V., Ditsiou, A.Z., Gigis, I., Nikolaides, A.P., and Niakas, D. (2024). Exploring Quality of Life and Mortality in Pertrochanteric Fragility Hip Fractures in Northern Greece: A Single Tertiary Center Study. J. Clin. Med., 13.","DOI":"10.3390\/jcm13092478"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.arth.2020.07.059","article-title":"More Patients Are Being Discharged Home After Total Knee Arthroplasty, However Rates Vary Between Large Databases","volume":"36","author":"DeMik","year":"2021","journal-title":"J. Arthroplast."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1016\/j.arth.2019.04.027","article-title":"Trends in Length of Stay and 30-Day Complications After Total Knee Arthroplasty: An Analysis From 2006 to 2016","volume":"34","author":"Sarpong","year":"2019","journal-title":"J. Arthroplast."},{"key":"ref_24","first-page":"53","article-title":"Longer Length of Stay Is Associated With More Early Complications After Total Knee Arthroplasty","volume":"42","author":"DeMik","year":"2022","journal-title":"Iowa Orthop. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"E593","DOI":"10.1503\/cjs.021219","article-title":"Delayed discharge after total hip arthroplasty is associated with an increased risk of complications","volume":"65","author":"Morcos","year":"2022","journal-title":"Can. J. Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"156","DOI":"10.4103\/0259-1162.134490","article-title":"Clinical strategies to accelerate recovery after surgery orthopedic femur in elderly patients","volume":"8","author":"Imbelloni","year":"2014","journal-title":"Anesth. Essays Res."},{"key":"ref_27","first-page":"32","article-title":"Anesthetic Management in Early Recovery After Surgery Protocols for Total Knee and Total Hip Arthroplasty","volume":"86","author":"Oseka","year":"2018","journal-title":"AANA J."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1016\/S0895-4356(96)00271-5","article-title":"Practical considerations on the use of the Charlson comorbidity index with administrative data bases","volume":"49","author":"Bouckaert","year":"1996","journal-title":"J. Clin. Epidemiol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1001\/jamasurg.2016.4952","article-title":"Enhanced Recovery After Surgery: A Review","volume":"152","author":"Ljungqvist","year":"2017","journal-title":"JAMA Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"761","DOI":"10.2106\/JBJS.G.01472","article-title":"Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty","volume":"91","author":"Larsen","year":"2009","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/17453674.2019.1683790","article-title":"Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS((R))) Society recommendations","volume":"91","author":"Wainwright","year":"2020","journal-title":"Acta Orthop."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"20","DOI":"10.4055\/cios.2018.10.1.20","article-title":"Postoperative Intravenous Ferric Carboxymaltose Reduces Transfusion Amounts after Orthopedic Hip Surgery","volume":"10","author":"Kim","year":"2018","journal-title":"Clin. Orthop. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1302\/0301-620X.98B12.BJJ-2016-0362.R2","article-title":"When is the ideal time to operate on a patient with a fracture of the hip?: A review of the available literature","volume":"98-B","author":"Lewis","year":"2016","journal-title":"Bone Jt. J."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1080\/17453674.2020.1754645","article-title":"No association between waiting time to surgery and mortality for healthier patients with hip fracture: A nationwide Swedish cohort of 59,675 patients","volume":"91","author":"Greve","year":"2020","journal-title":"Acta Orthop."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1302\/0301-620X.101B9.BJJ-2019-0295.R1","article-title":"Does time from fracture to surgery affect mortality and intraoperative medical complications for hip fracture patients? An observational study of 73 557 patients reported to the Norwegian Hip Fracture Register","volume":"101-B","author":"Engesaeter","year":"2019","journal-title":"Bone Jt. J."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1302\/2633-1462.29.BJO-2021-0079.R1","article-title":"Waiting time for hip fracture surgery: Hospital variation, causes, and effects on postoperative mortality: Data on 37,708 operations reported to the Norwegian Hip fracture Register from 2014 to 2018","volume":"2","author":"Kjaervik","year":"2021","journal-title":"Bone Jt. Open"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1097\/BOT.0000000000001183","article-title":"What Is the Influence of a Delay to Surgery >24 Hours on the Rate of Red Blood Cell Transfusion in Elderly Patients With Intertrochanteric or Subtrochanteric Hip Fractures Treated With Cephalomedullary Nails?","volume":"32","author":"Mattisson","year":"2018","journal-title":"J. Orthop. Trauma."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Smektala, R., Endres, H.G., Dasch, B., Maier, C., Trampisch, H.J., Bonnaire, F., and Pientka, L. (2008). The effect of time-to-surgery on outcome in elderly patients with proximal femoral fractures. BMC Musculoskelet. Disord., 9.","DOI":"10.1186\/1471-2474-9-171"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"101115","DOI":"10.1016\/j.artd.2023.101115","article-title":"An Increase in Same Day Discharge after Total Joint Arthroplasty During the COVID-19 Pandemic Does Not Influence Patient Outcomes: A Retrospective Cohort Analysis","volume":"20","author":"Mitchell","year":"2023","journal-title":"Arthroplast. Today"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"S627","DOI":"10.1007\/s00198-010-1387-y","article-title":"Geriatric hip fracture clinical pathway: The Hong Kong experience","volume":"21","author":"Lau","year":"2010","journal-title":"Osteoporos. Int."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1097\/ALN.0000000000002397","article-title":"Patient Blood Management Program Improves Blood Use and Clinical Outcomes in Orthopedic Surgery","volume":"129","author":"Gupta","year":"2018","journal-title":"Anesthesiology"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.transci.2018.05.029","article-title":"Impact of a patient blood management program within an Orthogeriatric care service","volume":"57","author":"Bielza","year":"2018","journal-title":"Transfus. Apher. Sci."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.1097\/BOT.0000000000001937","article-title":"Factors Associated With Mortality After Surgical Management of Femoral Neck Fractures","volume":"34","author":"Bzovsky","year":"2020","journal-title":"J. Orthop. Trauma."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Lin, J.C., and Liang, W.M. (2017). Mortality, readmission, and reoperation after hip fracture in nonagenarians. BMC Musculoskelet. Disord., 18.","DOI":"10.1186\/s12891-017-1493-5"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"15695","DOI":"10.1038\/s41598-018-33940-8","article-title":"Determinants of mortality after hip fracture surgery in Sweden: A registry-based retrospective cohort study","volume":"8","author":"Ahman","year":"2018","journal-title":"Sci. Rep."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/13\/3666\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:03:19Z","timestamp":1760108599000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/13\/3666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,24]]},"references-count":45,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2024,7]]}},"alternative-id":["jcm13133666"],"URL":"https:\/\/doi.org\/10.3390\/jcm13133666","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,24]]}}}