Browsing by Author "Tomanovic-Vujadinovic, Sanja (56029483100)"
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Publication Prolonged pre-operative hospital stay as a predictive factor for early outcomes and mortality after geriatric hip fracture surgery: a single institution open prospective cohort study(2018) ;Tulic, Goran (23036995600) ;Dubljanin-Raspopovic, Emilija (13613945600) ;Tomanovic-Vujadinovic, Sanja (56029483100) ;Sopta, Jelena (24328547800) ;Todorovic, Aleksandar (57217367046)Manojlovic, Radovan (19933967900)Introduction: The aim of this open prospective cohort study was to determine if a prolonged pre-operative hospital stay is a true predictor of higher morbidity or mortality in geriatric patients with hip fractures. Materials and methods: We analysed early outcome parameters, such as functional independence measure (FIM), at discharge and four months post-operatively, peri-operative nonsurgical complications, intra-hospital and one year mortality compared with prolonged pre-operative hospital stay in 308 patients from a continuous cohort of 344. Results: Average pre-operative stay was 8.39 ± 5.80 days. Delaying surgery for > 72 hours was independently predictive for general complications and lower motor FIM gain at four months. All findings worsen progressively after the fifth day of delay. Pre-operative period was not found to be an independent predictor of mortality. Conclusion: In all observed outcome parameters except mortality, pre-operative delay > 72 hours was shown to be a true predictive factor. © 2017, SICOT aisbl.
