Effect of operative time in outcomes following surgical fixation of hip fractures: a multivariable regression analysis of 35,710 patients

Background: Prolonged operative time is a risk factor for increased morbidity and mortality after open reduction and internal fixation (ORIF) of hip fractures. However, the quantitative nature of such association, including graduated risk levels, has yet to be described. This study outlines the grad...

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Bibliographic Details
Published in:Hip international 2024-03, Vol.34 (2), p.270-280
Main Authors: Ibaseta, Alvaro, Emara, Ahmed, Rullán, Pedro J, Santana, Daniel C, Ng, Mitchell K, Grits, Daniel, Krebs, Viktor E, Molloy, Robert M, Piuzzi, Nicolas S
Format: Article
Language:English
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Summary:Background: Prolonged operative time is a risk factor for increased morbidity and mortality after open reduction and internal fixation (ORIF) of hip fractures. However, the quantitative nature of such association, including graduated risk levels, has yet to be described. This study outlines the graduated associations between operative time and (1) healthcare utilisation, and (2) 30-day complications after ORIF of hip fractures. Methods: The National Surgical Quality Improvement Program (NSQIP) database was queried (January 2016–December 2019) for all patients who underwent ORIF of hip fractures (n = 35,710). Demographics, operative time, fracture type, and comorbidities were recorded. Outcomes included healthcare utilisation (e.g., prolonged length of stay [LOS>2 days], discharge disposition, 30-day readmission, and reoperation), inability to weight-bear (ITWB) on postoperative day-1 (POD-1), and any 30-day complication. Adjusted multivariate regression models evaluated associations between operative time and measured outcomes. Results: Operative time
ISSN:1120-7000
1724-6067
DOI:10.1177/11207000231203527