Perioperative medicine & outcomes
Trends in hip fracture surgery in the United States from 2016 to 2021: patient characteristics, clinical management, and outcomes
Authors' conclusion
Over the 6-yr period from 2016 to 2021, a majority of hip fracture repairs continued to be performed under general anaesthesia but with that percentage declining over time. Notable trends included a lower percentage of female patients, an increase in femoral neck fractures, a higher comorbidity burden among patients, and a decrease in complications.
Study context
- Population
- US patients undergoing surgical hip fracture repair, 2016–2021
- Participants
- 347,086 encounters
- Exposure
- Trends from 2016 to 2021
- Outcome
- Nationwide trends in patient characteristics, clinical management and outcomes after hip fracture repair surgery
Methodological detailsnationwide database (Premier Healthcare dataset), trend analysis
- Nationwide database (Premier Healthcare dataset)
- Trend analysis
Main finding
As reported in the abstract
Trends 2016 to 2021
- Median age declined from 82 yr [IQR 73-88] to 81 yr [IQR 73-88]
- P-value=0.002
- Female patients decreased from 68% to 66.2%
- P-value=0.019
- Internal fixation, most common intervention initially, declined from 49.9% to 43.8%
- P-value <0.001
- ≥3 Elixhauser comorbidities increased from 56.4% to 58.6%
- P-value=0.006
Observational data: associations, not effects.
Safety
Complications (per 1000 inpatient days)
- Acute renal failure remained the most common complication
- No complication showed a significant upward trend; many showed downward trends
Original publication
Trends in hip fracture surgery in the United States from 2016 to 2021: patient characteristics, clinical management, and outcomes. Br J Anaesth. Published 5 September 2024. doi:10.
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