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dc.contributor.authorVidal, Edison Iglesias de Oliveira [UNESP]
dc.contributor.authorMoreira-Filho, D. C.
dc.contributor.authorCoeli, C. M.
dc.contributor.authorCamargo, K. R.
dc.contributor.authorFukushima, Fernanda Bono [UNESP]
dc.contributor.authorBlais, R.
dc.date.accessioned2014-05-20T13:32:03Z
dc.date.available2014-05-20T13:32:03Z
dc.date.issued2009-05-01
dc.identifierhttp://dx.doi.org/10.1007/s00198-008-0757-1
dc.identifier.citationOsteoporosis International. Artington: Springer London Ltd, v. 20, n. 5, p. 723-729, 2009.
dc.identifier.issn0937-941X
dc.identifier.urihttp://hdl.handle.net/11449/10938
dc.description.abstractThis study aims to analyze whether the interval from hospital admission to surgery may be used as a surrogate of the actual gap from fracture to surgery when investigating in-hospital hip fracture mortality. After analyzing 3,754 hip fracture admissions, we concluded that those intervals might be used interchangeably without misinterpretation bias.The debate regarding the influence of time to surgery in hip fracture (HF) mortality is one of the most controversial issues in the HF medical literature. Most previous investigations actually analyzed the time from hospital admission to surgery as a surrogate of the less easily available gap from fracture to surgery. Notwithstanding, the assumption of equivalency between those intervals remains untested.We analyzed 3,754 hospital admissions of elderly patients due to HF in Quebec, Canada. We compared the performance as predictors of in-hospital mortality of the delay from admission to surgery and the actual gap from fracture to surgery using univariate and multiple logistic regression analysis.The mean times from fracture to surgery and from admission to surgery were 1.84 and 1.02 days (P < 0.001), respectively. on univariate logistic regression, both times were slightly significant as mortality predictors, yielding similar odds ratios of 1.08 (P < 0.001) for time from fracture to surgery and 1.11 (P < 0.001) for time from admission to surgery. After accounting for other covariates, neither times remained significant mortality predictors.The gap from admission to surgery may be used as a surrogate of the actual delay from fracture to surgery when studying in-hospital HF mortality.en
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent723-729
dc.language.isoeng
dc.publisherSpringer London Ltd
dc.relation.ispartofOsteoporosis International
dc.sourceWeb of Science
dc.subjectElderlyen
dc.subjectHip fractureen
dc.subjectMortalityen
dc.subjectOsteoporosisen
dc.subjectTime to surgeryen
dc.titleHip fracture in the elderly: does counting time from fracture to surgery or from hospital admission to surgery matter when studying in-hospital mortality?en
dc.typeArtigo
dcterms.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dcterms.rightsHolderSpringer London Ltd
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionAlbert Einstein Hosp
dc.contributor.institutionUniversidade Federal do Rio de Janeiro (UFRJ)
dc.contributor.institutionUniversidade do Estado do Rio de Janeiro (UERJ)
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniv Montreal
dc.description.affiliationUniv Estadual Campinas, Dept Social & Prevent Med, Campinas, SP, Brazil
dc.description.affiliationAlbert Einstein Hosp, Home Care Dept, São Paulo, Brazil
dc.description.affiliationUniv Fed Rio de Janeiro, Inst Studies Publ Hlth, Rio de Janeiro, Brazil
dc.description.affiliationUniversidade do Estado do Rio de Janeiro (UERJ), Inst Social Med, Rio de Janeiro, Brazil
dc.description.affiliationState Univ São Paulo, Dept Anesthesiol, Botucatu, SP, Brazil
dc.description.affiliationUniv Montreal, Dept Hlth Adm, Montreal, PQ, Canada
dc.description.affiliationUnespState Univ São Paulo, Dept Anesthesiol, Botucatu, SP, Brazil
dc.identifier.doi10.1007/s00198-008-0757-1
dc.identifier.wosWOS:000264848400006
dc.rights.accessRightsAcesso restrito
unesp.campusUniversidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatupt
dc.identifier.lattes9276729087180415
dc.identifier.orcid0000-0002-1573-4678
unesp.author.lattes9276729087180415[1]
unesp.author.orcid0000-0002-1573-4678[1]
unesp.author.orcid0000-0003-3606-5853[4]
unesp.author.orcid0000-0001-8055-5425[5]
unesp.author.orcid0000-0003-1757-3940[3]
dc.relation.ispartofjcr3.856
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