Patients with Osteoporotic Hip Fractures: Factors
Affecting Length of Hospital Stay (LOS) and Outcome
Manee Raksakietisak MD*,
Angkana Lurngnateetape MD*, Kongkhet Riansuwan MD**,
Ninkan Noiwan MD*, Chutimart Chaiyarak MD*,
Kittiya Keawmoon MD*, Benno von Bormann MD*
Affiliation :
* Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
** Department of Orthopedics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Objective : Identify risk factors associated with prolonged hospital stay (LOS more than 14 days) in patients with osteoporotic
hip fracture.
Material and Method: One hundred and fi fty 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.
Results : 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. Signifi cant predicting risk
factors were waiting for investigation (odds ratio (OR) 3.77, confi dence interval (CI) 1.12-12.69) and receiving systemic
opioids (OR 3.44; CI 1.54-7.66).
Conclusion : 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.
Keywords : Hip fracture, Length of hospital stay (LOS), Time-to-surgery, Risk factors, Systemic opioids
All Articles
Download