• Podcast
  • 31/08/2019
  • UK

Does Time from Fracture to Surgery Affect Mortality and Intraoperative Medical Complications for Hip Fracture Patients?

Description

This month’s BJJ Podcast, hosted by Andrew Duckworth, focuses on an important study regarding hip fractures. Duckworth opens the discussion by acknowledging the support received from listeners and contributors to the podcast series, highlighting previous topics covered, including discussions on cell therapies and performance outcomes related to hip fractures.



The episode features two guests, Dr. Sunniva Leer-Salvesen and Dr. Jan-Erik Gjertsen from Heartland Hospital in Norway, who delve into their observational study examining the effects of time from fracture surgery on mortality and intraoperative medical complications in hip fracture patients. Their research, which pulls data from the Norwegian Hip Fracture Registry, included a significant sample size of 73,557 patients and aims to emphasize the critical influence of surgical timing on patient outcomes.



The discussion encompasses findings regarding optimal surgery timing, noting that longer delays beyond 48 hours post-fracture are linked to increased mortality rates. They also express the significance of distinguishing pre-hospital delays from hospital delays to better understand the risks associated with waiting periods. Furthermore, the podcast addresses current guidelines in Norway and the necessity of multidisciplinary approaches in managing hip fractures, aiming to enhance patient outcomes through timely treatment.



As the conversation progresses, the doctors discuss implications for practice, the need for balancing surgical urgency with patient stability, and the ongoing challenges in translating these findings into actionable protocols within healthcare systems. The episode concludes with an emphasis on further research required to clarify the relationship between surgical timing and patient health outcomes.

DOI: 10.1302/3114-210484

Specialties