Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Brener S. Optimal timing of hip fracture surgery: a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2013 Authors' objectives The objective of this rapid review is to identify the evidence around the optimal timing to surgery after a patient's presentation to a hospital with a hip fracture. Authors' conclusions This rapid review identified 6 systematic reviews, none of which directly compared outcomes for hip fracture patients receiving surgery within 24 hours versus 24 to 48 hours. However, findings were consistent among the reviews for the outcomes of interest:
Shorter wait time for surgery is associated with decreased risk of mortality.
No statistically or clinically meaningful differences were observed in hospital length of stay among patients who received surgery earlier versus delayed.
Evidence available at this time does not give us the precision to determine if surgery performed within 24 hours results in significantly different outcomes than surgery between 24 and 48 hours. Given that the current median wait time for hip fracture surgery in Ontario is 26 hours and 78% of patients receive surgery within 48 hours of admission, (3) the evidence supports Ontario's current standard of care and the benchmark of surgery within 48 hours. Indexing Status Subject indexing assigned by CRD MeSH Hip Fracturess; Orthopedic Procedures; Time Factors Language Published English Country of organisation Canada English summary An English language summary is available. Address for correspondence Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5 Email: EDSinfo@hqontario.ca AccessionNumber 32014001042 Date abstract record published 09/09/2014 |