Study the effect of timing of surgery on duration of surgery, operating room time, blood loss during surgery, operative complications, and post operative recovery
Joseph Lane, MD Pingal Desai, MD
Hip fractures are a major public health problem, and surgical intervention is a crucial aspect of their management. From 1986 to 2005, the mean occurrence of hip fractures was 957 per 100,000 in women and 414 per 100,000 in men annually. The 180-day mortality rates for these individuals have been reported as high as 14.3% in women and 22.9% in men. Identifying risk factors for poor recovery time, morbidity, mortality, and complications may allow physicians to identify high-risk patients and appropriately adjust management and allocation of resources. Furthermore, risk stratification may indicate which patients may most benefit from intervention. We plan to measure functional outcomes differently by assessing several physical therapy measures including the timing of bed-to-chair transfer, standing, walking, and the clearance for discharge by the physical therapist. We also plan to investigate how operating in regular timing (earlier than 6pm) versus emergency timing (after 6pm) are associated with these outcomes. We hypothesize that patients with hip fractures operated during regular operative timings have less morbidity and shorter recovery times than those operated in emergency timings and that the patients with hip fractures operated within 48 hours of hospital admission show less morbidity and shorter recovery times than those operated after 48 hours of hospital admission. Under the co-guidance of Dr. Pingal Desai and Dr. Joseph Lane, the medical student’s role would be to collect demographic, radiographic, clinical and laboratory data through chart review. The student will also have the opportunity to participate in some of procedures and follow these patients in clinic.
This position has been filled.