Patients with osteoporotic hip fractures: factors affecting length of hospital stay (LOS) and outcome
Raksakietisak, M.; Lurngnateetape, A.; Riansuwan, K.; Noiwan, N.; Chaiyarak, C.; Keawmoon, K.; von Bormann, B.
Journal of the Medical Association of Thailand 95(7): 917-924
2012
ISSN/ISBN: 0125-2208 PMID: 22919987 Document Number: 13968
Identify risk factors associated with prolonged hospital stay (LOS more than 14 days) in patients with osteoporotic hip fracture. One hundred and fifty out of 356 patients with fractured femur were selected between April 2008 and August 2009. Analysis of patient's LOS (group I equal or less than 14 days, group II more than 14 days) is performed by backward binary multiple logistic regression. LOS in group I (n=46) was 12.5 (+/- 4) days compared to 21 (+/- 11) days in group II (n=104). Patients were mainly female (74%) and about 50% were aged over 80 years. The 30-days mortality in group I and II was zero and two patients respectively. Time-to-surgery was three days (+/- 2) in group I and seven (+/- 5) days in group II. Significant predicting risk factors were waiting for investigation (odds ratio (OR) 3.77, confidence interval (CI) 1.12-12.69) and receiving systemic opioids (OR 3.44; CI 1.54-7.66). Unnecessary surgery delay after hip fracture should be avoided. Higher need for opioids in those patients might be the result of prolonged waiting for surgical treatment.
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