Table 2: Patients’ operative variables and postoperative outcomes.
|
Total |
With Post-Discharge VTE N = 880 (0.9%) |
Without Post-Discharge VTE N = 95,990 (99.1%) |
P-Value |
N = 96,870 |
||||
Variables |
N (%) |
N (%) |
N (%) |
|
Diagnosis* |
n = 71,267 |
n = 623 |
n = 70,644 |
|
Femur head or neck fracture |
30,390 (42.6%) |
235 (37.7%) |
30,155 (42.7%) |
|
Pertrochanteric fracture |
40,877 (57.4%) |
388 (62.3%) |
40,489 (57.3%) |
0.012 |
ASA Classification* |
n = 96,710 |
n = 879 |
n = 95,831 |
|
Class I and II |
17,197 (17.8%) |
157 (17.9%) |
17,040 (17.8%) |
0.213 |
Class III |
60,453 (62.5%) |
569 (64.7%) |
59,884 (62.5%) |
|
Class IV and V |
19,060 (19.7%) |
153 (17.4%) |
18,907 (19.7%) |
|
Procedure Type |
|
|
|
|
Hemiarthroplasty |
34,283 (35.4%) |
282 (32.0%) |
34,001 (35.4%) |
|
DHS |
11,289 (11.7%) |
76 (8.6%) |
11,213 (11.7%) |
< 0.001 |
IMN |
51,298 (53.0%) |
522 (59.3%) |
50,776 (52.9%) |
|
Days from admission to operation* |
n = 96,700 |
n = 880 |
n = 95,820 |
0.503 |
1.1 ± 1.2 |
1.07 ± 0.98 |
1.10 ± 1.2 |
||
Days from operation to discharge* |
n = 95,028 |
n = 879 |
n = 94,149 |
< 0.001 |
4.75 ± 3.22 |
4.27 ± 2.60 |
4.76 ± 3.22 |
||
Elective Surgery* |
5,686/96,729 |
46/887 |
5,640/95,852 |
0.468 |
-5.90% |
-5.20% |
-5.90% |
||
Duration of procedure* |
n = 96,860 |
n = 880 |
n = 95,980 |
|
< 60 minutes |
52,810 (54.5%) |
447 (50.8%) |
52,363 (54.6%) |
0.027 |
+ 60 minutes |
44,050 (45.5%) |
443 (49.2%) |
43,617 (45.4%) |
|
Postop weight-bearing* |
9,718/40,084 |
92/362 |
9,626/39,722 |
0.625 |
-24.20% |
-25.40% |
-24.20% |
||
Surgical Complications |
|
|
|
|
Stroke |
222 (0.2%) |
15 (1.7%) |
209 (0.2%) |
< 0.001 |
Myocardial infarction |
530 (0.5%) |
40 (4.5%) |
490 (0.5%) |
< 0.001 |
Readmission |
8,005/78,118 |
480/802 |
7,525/77,316 |
< 0.001 |
-10.20% |
-59.90% |
-9.70% |
||
Mortality |
5,252 (5.4%) |
64 (7.3%) |
5,188 (5.4%) |
0.018 |
Extended DVT prophylaxis* |
27,531/44,640 |
256/389 |
27,275/44,251 |
0.095 |
-61.70% |
-65.80% |
-61.60% |
||
Medical co-management* |
39804/45,005 |
368/393 |
39,436/44,612 |
0.001 |
-88.40% |
-93.60% |
-88.40% |
||
Hip fracture care program* |
26,210/45,005 |
199/393 |
26,011/44,612 |
0.002 |
-58.20% |
-50.60% |
-58.30% |
||
Pathologic fracture* |
2,100/45,005 |
27/393 |
2,073/44612 |
0.048 |
-4.70% |
-6.90% |
-4.60% |
*Indicates certain cases had missing information for the study variable. List-wise deletion was performed as necessary.
DHS: Dynamic Hip Screw; IMN: Intramedullary Nailing
All numerical values expressed as mean ± standard deviation