Table 2

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

DemographicsFemur fracture repaired <24 hoursFemur fracture repaired >24 hoursP value
n=296n=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 III56 (19)16 (16)
 Level IV198 (66)68 (67)
 Undesignated44 (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 trauma247 (77)74 (23)
 Trauma surgery31 (72)12 (27)
 Medicine18 (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
 Home94 (32)19 (19)
 Nursing home165 (56)76 (75)
 Acute rehabilitation unit28 (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.