Evidence mapPaperPMID 40545513Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Ready for discharge? Factors associated with prolonged length of stay following geriatric hip fracture.

Christopher Pettit, Carolyn Herbosa, Abhishek Ganta, Kenneth Egol, Sanjit Konda

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Christopher PettitNew York University Langone Orthopedic Hospital, New York, New York, United States.
Carolyn HerbosaNew York University Langone Orthopedic Hospital, New York, New York, United States.
Abhishek GantaNew York University Langone Orthopedic Hospital, New York, New York, United States.
Kenneth EgolNew York University Langone Orthopedic Hospital, New York, New York, United States.
Sanjit KondaNew York University Langone Orthopedic Hospital, New York, New York, United States. sanjit.konda@nyulangone.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify factors associated with prolonged length of stay following geriatric hip fractures.

methodsA single-center retrospective study of a consecutive series of geriatric (age > 65) hip fractures between 10/1/14 and 11/1/23 was performed. Patient demographics, injury/surgery characteristics, and inpatient complications were reviewed. Patients who died during hospitalization were excluded. Patients were cohorted into "average" LOS (nLOS) and "prolonged" LOS (pLOS); pLOS was defined as 1 standard deviation above the mean LOS. Cohort variables were compared using standard statistical tests. Multivariable logistic regression was used to isolate covariates that were independently associated with pLOS while controlling for confounders.

resultsA total of 3383 patients were identified. Average LOS was 6.38 days (S.D. = 4.24 days), and prolonged LOS was 10.62 days. The pLOS cohort was sicker and less functionally independent at baseline. The pLOS cohort had a more complicated hospital course with a 6 × increase in major complications and 2 × increase in minor complications. The demographic characteristic associated the most to pLOS was male gender. The injury/surgery characteristic contributing the most to pLOS was time from admission to surgery. The complication contributing the most to pLOS was new-onset stroke.

conclusionMultiple demographic and outcome factors are associated with pLOS in geriatric hip fractures. While demographics cannot be changed, teams should focus on modifiable factors such as reducing time to surgery and identification, prevention, and treatment of perioperative complications, most importantly stroke and pneumonia, to prevent delays in discharge following hip fracture in the elderly population. LEVEL OF EVIDENCE: Level IV.

Indexed as

Hip FracturesLength of StayPatient DischargeAgedAged, 80 and overFemaleHumansMalePostoperative ComplicationsRetrospective StudiesRisk FactorsSex FactorsDemographicsHip fracturePost-operative complicationsProlonged length of stayTime to surgery

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.