Featured Research

from universities, journals, and other organizations

Faster surgery may be better for hip fractures

Date:
November 18, 2013
Source:
McMaster University
Summary:
Among patients receiving standard care for hip fractures, 47% suffered a major complication of death, heart attack, stroke, pneumonia, blood clot or major bleeding event. However, only 30% of the patients in the accelerated surgery group suffered one of these complications.

The speed of surgery after a hip fracture may have a significant impact on outcomes for older patients, and faster may be better, say researchers at McMaster University.

Their study was published in the Canadian Medical Association Journal (CMAJ) today.

For seniors, hip fractures can cause serious complications that may result in death or admission to long-term care facilities for some people who previously lived at home. Hip fractures cause pain, bleeding and immobility and activate patient’s coagulation and stress systems which can lead to medical complications in people awaiting surgery.

In many countries, including Canada, waits for hip surgery can be 24 hours or longer, mainly because of pre-surgery clearance procedures and lack of operating rooms. However, during the scientific study of 60 people aged 45 years or older in Canada and India, half received accelerated surgery within six hours and half had standard care of surgery 24 hours after diagnosis with a hip fracture.

Among patients receiving standard care, 47% suffered a major complication of death, heart attack, stroke, pneumonia, blood clot or major bleeding event. However, only 30% of the patients in the accelerated surgery group suffered one of these complications.

“We believe that the shortest time possible to treatment may provide the greatest potential for benefit, as is the case in acute heart attack and stroke,” said Dr. P.J. Devereaux, an associate professor of medicine and epidemiology at the Michael G. DeGroote School of Medicine at McMaster and co-principal investigator of the pilot trial.

Dr. Mohit Bhandari, a professor of surgery of the McMaster medical school and co-principal investigator, added: “This pilot provides encouraging evidence that accelerated surgery may substantially improve outcomes in these patients.”


Story Source:

The above story is based on materials provided by McMaster University. Note: Materials may be edited for content and length.


Journal Reference:

  1. G. L. Buse, M. Bhandari, P. Sancheti, S. Rocha, M. Winemaker, A. Adili, J. de Beer, M. Tiboni, J. D. D. Neary, V. Dunlop, L. Gauthier, A. Patel, A. Robinson, R. N. Rodseth, R. Kolesar, J. Farrell, M. Crowther, V. Tandon, P. Magloire, H. Dokainish, P. Joseph, C. W. Tomlinson, O. Salehian, D. Hastings, D. L. Hunt, H. Van Spall, T. L. Cosman, D. L. Simpson, D. Cowan, G. Guyatt, K. Alvarado, W. K. Evans, R. Mizera, J. Eikelboom, D. Cook, M. Loeb, J. Johnstone, C. Kearon, D. I. Sessler, T. VanHelder, P. Rao-Melacini, A. Worster, A. Patil, R. McLean, A.-M. Macdonald, R. Badzioch, P. J. Devereaux. Accelerated care versus standard care among patients with hip fracture: the HIP ATTACK pilot trial. Canadian Medical Association Journal, 2013; DOI: 10.1503/cmaj.130901

Cite This Page:

McMaster University. "Faster surgery may be better for hip fractures." ScienceDaily. ScienceDaily, 18 November 2013. <www.sciencedaily.com/releases/2013/11/131118132436.htm>.
McMaster University. (2013, November 18). Faster surgery may be better for hip fractures. ScienceDaily. Retrieved September 21, 2014 from www.sciencedaily.com/releases/2013/11/131118132436.htm
McMaster University. "Faster surgery may be better for hip fractures." ScienceDaily. www.sciencedaily.com/releases/2013/11/131118132436.htm (accessed September 21, 2014).

Share This



More Health & Medicine News

Sunday, September 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Sierra Leone in Lockdown to Control Ebola

Sierra Leone in Lockdown to Control Ebola

AP (Sep. 21, 2014) Sierra Leone residents remained in lockdown on Saturday as part of a massive effort to confine millions of people to their homes in a bid to stem the biggest Ebola outbreak in history. (Sept. 20) Video provided by AP
Powered by NewsLook.com
Sierra Leone's Nationwide Ebola Curfew Underway

Sierra Leone's Nationwide Ebola Curfew Underway

Newsy (Sep. 20, 2014) Sierra Leone is locked down as aid workers and volunteers look for new cases of Ebola. Video provided by Newsy
Powered by NewsLook.com
Changes Found In Brain After One Dose Of Antidepressants

Changes Found In Brain After One Dose Of Antidepressants

Newsy (Sep. 19, 2014) A study suggest antidepressants can kick in much sooner than previously thought. Video provided by Newsy
Powered by NewsLook.com
Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins