Propensity score matching analysis of early vs. delayed surgery for intertrochanteric fracture in older patients: a retrospective multicenter cohort study of 7414 patients with a mean 4-year follow up
Our findings suggest that a 48-hour delay in surgical intervention for older patients with an ITF does not result in a higher mortality rate, worse functional outcomes, and increased incidence of major perioperative complications when compared to early surgery. While expedited surgery is undoubtedly necessary for suitable patients, a reasonable preoperative delay of 48 h may be justified and safe for those with severe conditions, rather than strictly adhering to the current guidelines.
Authors
- Xin Xu (ORCID: https://orcid.org/0000-0003-3395-9923)
- Jiale Xie (ORCID: https://orcid.org/0000-0002-8018-7965)
- Junfei Guo (ORCID: https://orcid.org/0000-0002-5687-3885)
- Yubin Long (ORCID: https://orcid.org/0000-0003-3634-4916)
- Bin-Fei Zhang (ORCID: https://orcid.org/0000-0002-1135-6972)
- Wensen Jing (ORCID: https://orcid.org/0000-0003-4379-8377)
- Ke Xu (ORCID: https://orcid.org/0000-0003-4364-3770)
- Tao Wang (ORCID: https://orcid.org/0000-0003-2952-8397)
- Zheng Li
- Ying Pan
- Peng Xu (ORCID: https://orcid.org/0009-0005-9173-2833)
- Zhiyong Hou
- Hui Yu
Institutions
- Hebei Medical University (CN)
- Third Hospital of Hebei Medical University (CN)
- Xi'an Honghui Hospital (CN)
- Baoding People's Hospital (CN)
- Xi'an Jiaotong University (CN)
Publication Details
- Journal
- BMC Geriatrics
- Published
- 2024-10-12
- DOI
- https://doi.org/10.1186/s12877-024-05415-1
- Citations
- 4
- Primary Topic
- Hip and Femur Fractures
- Type
- article
- Field-Weighted Citation Impact
- 2.29
Funders
- Honghui Hospital