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dc.contributor.authorNilsen, Sara Marie
dc.contributor.authorAsheim, Andreas
dc.contributor.authorCarlsen, Fredrik
dc.contributor.authorAnthun, Kjartan Sarheim
dc.contributor.authorJohnsen, Lars Gunnar
dc.contributor.authorVatten, Lars Johan
dc.contributor.authorBjørngaard, Johan Håkon
dc.date.accessioned2021-02-12T10:57:51Z
dc.date.available2021-02-12T10:57:51Z
dc.date.created2021-02-03T10:37:33Z
dc.date.issued2021
dc.identifier.issn2049-4394
dc.identifier.urihttps://hdl.handle.net/11250/2727700
dc.description.abstractFew studies have investigated potential consequences of strained surgical resources. The aim of this cohort study was to assess whether a high proportion of concurrent acute surgical admissions, tying up hospital surgical capacity, may lead to delayed surgery and affect mortality for hip fracture patients. Methods This study investigated time to surgery and 60-day post-admission death of patients 70 years and older admitted for acute hip fracture surgery in Norway between 2008 and 2016. The proportion of hospital capacity being occupied by newly admitted surgical patients was used as the exposure. Hip fracture patients admitted during periods of high proportion of recent admissions were compared with hip fracture patients admitted at the same hospital during the same month, on similar weekdays, and times of the day with fewer admissions. Results Among 60,072 patients, mean age was 84.6 years (SD 6.8), 78% were females, and median time to surgery was 20 hours (IQR 11 to 29). Overall, 14% (8,464) were dead 60 days after admission. A high (75th percentile) proportion of recent surgical admission compared to a low (25th percentile) proportion resulted in 20% longer time to surgery (95% confidence interval (CI) 16 to 25) and 20% higher 60-day mortality (hazard ratio 1.2, 95% CI 1.1 to 1.4). Conclusion A high volume of recently admitted acute surgical patients, indicating probable competition for surgical resources, was associated with delayed surgery and increased 60-day mortality.en_US
dc.language.isoengen_US
dc.publisherBritish Editorial Society of Bone and Joint Surgeryen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleHigh volumes of recent surgical admissions, time to surgery, and 60-day mortalityen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.source.journalThe Bone & Joint Journalen_US
dc.identifier.doihttps://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.103B2.BJJ-2020-1581.R1
dc.identifier.cristin1886234
dc.relation.projectNorges forskningsråd: 256579en_US
dc.relation.projectNorges forskningsråd: 295989en_US
dc.description.localcodeThis is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/en_US
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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal