Patient demographic and injury data for patients with femur fractures, comparing those who underwent fixation within 24 hours of admission to trauma center and those repaired more than 24 hours from admission
Demographics | Femur fracture repaired <24 hours | Femur fracture repaired >24 hours | P value |
n=296 | n=102 | ||
Sex (female), n (%) | 187 (63) | 59 (58) | 0.34 |
Age, median (IQR) | 76 (63–85) | 78.5 (67–98) | 0.1 |
Race (Caucasian), n (%) | 280 (95) | 95 (93) | 0.84 |
ISS, median (IQR) | 9 (9–9) | 9 (9–10) | 0.3 |
Rural, n (%) | 238 (81) | 85 (83) | 0.55 |
Local hospital ACS trauma designation, n (%) | 0.63 | ||
Level III | 56 (19) | 16 (16) | |
Level IV | 198 (66) | 68 (67) | |
Undesignated | 44 (15) | 18 (17) | |
Alcohol involved in trauma, n (%) | 24 (8) | 7 (7) | 0.67 |
Median Elixhauser score (IQR) | 0 (0–2) | 1 (0–2) | 0.11 |
Elilxhauser Score >2, n (%) | 46 (20) | 16 (22) | 0.71 |
Transfer time, hours, median (IQR) | 4.4 (3.8–5.8) | 4.8 (3.8–6.1) | 0.28 |
Initial hospital LOS, hours, median (IQR) | 2.8 (2.2–4.0) | 3.2 (2.4–5.6) | 0.1 |
Time to fracture repair, hours, median (IQR) | 14.5 (8.8–18.0) | 40.6 (30.9–49.7) | 0.027 |
Primary admitting service, n (%) | 0.009 | ||
Orthopedic trauma | 247 (77) | 74 (23) | |
Trauma surgery | 31 (72) | 12 (27) | |
Medicine | 18 (53) | 16 (47) | |
Trauma center LOS, days, median (IQR) | 4 (3–6) | 5 (5–8) | <0.001 |
ICU admission, n (%) | 15 (5) | 10 (10) | 0.08 |
ICU LOS, days, median (IQR) | 2 (1–4) | 4 (2.75–8) | 0.08 |
Discharge disposition, n (%) | 0.021 | ||
Home | 94 (32) | 19 (19) | |
Nursing home | 165 (56) | 76 (75) | |
Acute rehabilitation unit | 28 (10) | 6 (6) | |
Complication during stay, n (%) | 36 (12) | 23 (23) | 0.01 |
In-hospital mortality, n (%) | 6 (2) | 1 (1) | 0.49 |
30-day hospital mortality, n (%) | 17 (6) | 5 (5) | 0.75 |
ACS, American College of Surgeons; ICU, intensive care unit; ISS, Injury Severity Score; LOS, length of stay; n, number of patients.