The Association between Preoperative Hip Fracture Patient Status and Waiting Time：A Single-Center Retrospective Study

Abstract

Background：Early osteosynthesis for hip fracture improves prognosis, so prompt surgery within 48 hours after a hip fracture permits higher medical fees in Japan. We investigated the factors influencing time to hip fracture surgery.

Methods：Patients who received surgical treatment for hip fracture in 2022 were included in the study. The study looked at time from injury to hospital visit, ASA-PS classification, transthoracic echocardiography and venous ultrasonography, antiplatelet or anticoagulant medications, and dementia. It also looked at anticoagulants, preoperative blood transfusion, deep vein thrombosis, aortic valve stenosis, and anesthesia methods.

Result：The period from injury to hospital visits, ASA-PS classification, aortic stenosis, and lower extremity venous ultrasound significantly prolonged time to surgery.

Conclusion：Minimizing the period until hospital visits and facilitating preoperative examinations may reduce operative waiting time.