An epidemiological study of the relationship between time to surgery and health status for elderly patients with a hip fracture

Reid, Carol L., Gardner, Glenn E., Rooney, Carol, & Mallitt, Kylie-Ann (2010) An epidemiological study of the relationship between time to surgery and health status for elderly patients with a hip fracture. International Journal of Orthopaedic and Trauma Nursing, 14(3), pp. 169-175.

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A hip fracture causes permanent changes to life style for older people. Further, two important mortality indicators found post operatively for this group include, the time until surgery after fracture, and pre-operative health status prior to surgery, yet no research is available investigating relationships between time to surgery and health status. The researchers aimed to establish the health status risks for patients aged over 65 years with a non-pathological hip fracture to guide nursing care interventions. A prospective cohort design was used to investigate relationships between time to surgery and measures on pre-operative health status indicators including, skin integrity risk, vigor, mental state, bowel function and continence. Twenty-nine patients with a mean age in years of 81.93 (SD,9.49), were recruited. The mean number of hours from time 1 assessment to surgery was 52.72 (SD,58.35) and the range was 1 hour to 219 hours. At Time 2, the mean scores of vigor and skin integrity risk were significantly higher, indicating poorer health status. A change in health status occurred but possibly due to the small sample size it was difficult to relate this result to time. However the results informed preoperative care prior to surgery, for this group.

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ID Code: 37588
Item Type: Journal Article
Refereed: Yes
Keywords: Hip; Fracture; Health; Time; Surgery; Preoperative
DOI: 10.1016/j.ijotn.2010.03.006
ISSN: 1361-3111
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2010 Elsevier
Deposited On: 29 Sep 2010 23:53
Last Modified: 29 Feb 2012 14:16

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