The effect of surgical delay after hip fracture on mortality : a retrospective survival analysis of 27,397 surgeries in Argentina
Objective: To study the effect of surgical delay after hip fracture on mortality rate in Argentina. Methods: We retrieved data of 27,397 patients (79.6% women, age >= 60) undergoing surgery after hip fracture from Jan 1, 2011 to Dec 31, 2015 and fol- lowed up until Dec 31, 2016. The effect of sur...
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| Autor principal: | |
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| Otros Autores: | |
| Formato: | Tesis de maestría acceptedVersion |
| Lenguaje: | Inglés |
| Publicado: |
Universidad Torcuato Di Tella
2017
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| Materias: | |
| Acceso en línea: | http://repositorio.utdt.edu/handle/utdt/6553 |
| Aporte de: |
| id |
I57-R16320.500.13098-6553 |
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| record_format |
dspace |
| institution |
Universidad Torcuato Di Tella |
| institution_str |
I-57 |
| repository_str |
R-163 |
| collection |
Repositorio Digital Universidad Torcuato Di Tella |
| language |
Inglés |
| orig_language_str_mv |
eng |
| topic |
Mortalidad Cirugía Modelos econométricos Análisis econométrico Hospitales Tesis |
| spellingShingle |
Mortalidad Cirugía Modelos econométricos Análisis econométrico Hospitales Tesis Sanguino, Luciano The effect of surgical delay after hip fracture on mortality : a retrospective survival analysis of 27,397 surgeries in Argentina |
| description |
Objective: To study the effect of surgical delay after hip fracture on mortality rate in Argentina. Methods: We retrieved data of 27,397 patients (79.6% women, age >= 60) undergoing surgery after hip fracture from Jan 1, 2011 to Dec 31, 2015 and fol- lowed up until Dec 31, 2016. The effect of surgi- cal delay on mortality rates after 1, 2, 3, 6 and 12 months as well as the overall in-sample mortality rate was assessed with a multivariate Cox regression, controlling for age, gender, region, hospital characteristics and 24 comorbidities at baseline. Results: Mean surgical delay was 5.95 days and mean follow-up was 764 days. One-year mortality was 15.4% when delay < 3 days and 19.9% for delay >= 3 days. Surgical delay, age and male sex were found to significantly increase death risk after one year from admission to hospital—Hazard ratio (HR): 1.025 per additional day of delay (standard error = 0.002), p- value<0.001; HR: 1.056 per additional year (0.002), p<0.001; HR: 1.526 (0.043), p<0.001; respectively. Conclusion: Delay from hospital admission to surgery after hip fracture increases mortality in both the short and long run. |
| author2 |
Rotnitzky, Andrea |
| author_facet |
Rotnitzky, Andrea Sanguino, Luciano |
| format |
Tesis de maestría acceptedVersion |
| author |
Sanguino, Luciano |
| author_sort |
Sanguino, Luciano |
| title |
The effect of surgical delay after hip fracture on mortality : a retrospective survival analysis of 27,397 surgeries in Argentina |
| title_short |
The effect of surgical delay after hip fracture on mortality : a retrospective survival analysis of 27,397 surgeries in Argentina |
| title_full |
The effect of surgical delay after hip fracture on mortality : a retrospective survival analysis of 27,397 surgeries in Argentina |
| title_fullStr |
The effect of surgical delay after hip fracture on mortality : a retrospective survival analysis of 27,397 surgeries in Argentina |
| title_full_unstemmed |
The effect of surgical delay after hip fracture on mortality : a retrospective survival analysis of 27,397 surgeries in Argentina |
| title_sort |
effect of surgical delay after hip fracture on mortality : a retrospective survival analysis of 27,397 surgeries in argentina |
| publisher |
Universidad Torcuato Di Tella |
| publishDate |
2017 |
| url |
http://repositorio.utdt.edu/handle/utdt/6553 |
| work_keys_str_mv |
AT sanguinoluciano theeffectofsurgicaldelayafterhipfractureonmortalityaretrospectivesurvivalanalysisof27397surgeriesinargentina AT sanguinoluciano effectofsurgicaldelayafterhipfractureonmortalityaretrospectivesurvivalanalysisof27397surgeriesinargentina |
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Repositorios |
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1764820543153897474 |