Surgical timing and clinical factor predicting in-hospital mortality in older adults with hip fractures: a neuronal network analysis

Hip fracture is known to be a significant cause of morbidity and mortality in older adults. The impact of the timing of surgical treatment in those patients is crucial for postoperative outcomes. Early surgery is essential to reduce the risk of mortality. Our study has shown that, while in the case of acute and reversible conditions, waiting about 24 h to stabilize the patient with preoperative stabilization protocols, such as managing anticoagulation, optimizing hemodynamics, or addressing acute medical conditions including infection prevention, guarantees better results, in the case of sepsis or acute infection presence, the prolonged waiting to optimize patients before and after surgery does not help improve outcomes.