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November 28, 2017

Timing of Operations and Outcomes for Patients With Hip Fracture—It’s Probably Not Worth the Wait

Author Affiliations
  • 1Department of Orthopedics, Cedars Sinai Medical Center, Los Angeles, California
  • 2Department of Surgery, Cedars Sinai Medical Center, Los Angeles, California
JAMA. 2017;318(20):1981-1982. doi:10.1001/jama.2017.17624

In this issue of JAMA, Pincus and colleagues1 address an age-old question: How quickly must a patient with a hip fracture be taken to the operating room to provide fixation and repair? Their retrospective cohort study included 42 230 adults with hip fracture who underwent surgical repair at 72 hospitals in Ontario, Canada, and examined both the association of the elapsed time (in hours) from hospital arrival until surgery with the primary outcome of mortality at 30 days and the secondary complications: a composite of mortality or other medical complications (myocardial infarction, deep venous thrombosis, pulmonary embolism, and pneumonia).

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