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Journals / Journal of Health Sciences and Medicine / 2026 / Volume: 9 Issue: 5

Does the day of surgery influence postoperative morbidity and mortality in geriatric hip fracture patients? A retrospective cohort study

Emre Tekşan(GİRESUN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-9389-540X
Mehmet Emin Dada(GİRESUN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-2701-482X
Pages
—
Publication Date
2026-09-19
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Although an association between surgery performed on Tuesday and increased 1-month mortality was observed in the adjusted analysis, this isolated finding should be interpreted cautiously because it was not consistently supported across analyses and may reflect healthcare system organization rather than a true weekday-specific effect.

📌 3 Key Takeaways

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Objective & Hypothesis:Aims: Differences in surgical outcomes according to the day of the week have been discussed in the literature.
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Key Findings & Data:This study aimed to investigate the effect of the day of surgery on postoperative morbidity and 1-month mortality in geriatric hip fracture patients.
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Conclusion & Impact:Although an association between surgery performed on Tuesday and increased 1-month mortality was observed in the adjusted analysis, this isolated finding should be interpreted cautiously because it was not consistently supported across analyses and may reflect healthcare system organization rather than a true weekday-specific effect.
🔬Design:Modeling & Simulation
📍Scope:2020 Verileri
⚙️Variables:Hip fracture · geriatrics · day of surgery

Abstract

Aims: Differences in surgical outcomes according to the day of the week have been discussed in the literature. This study aimed to investigate the effect of the day of surgery on postoperative morbidity and 1-month mortality in geriatric hip fracture patients. Methods: This retrospective single-center cohort study included 576 patients who underwent surgery for hip fracture on weekdays between 2020 and 2024. Patients were grouped according to the weekday of surgery. Postoperative complications and 1-month mortality were evaluated. Multivariable logistic regression analysis was performed to assess the independent effect of weekday of surgery. Results: Multivariable analysis identified male gender as an independent predictor of 1-month mortality (p=0.017). Patients treated with PFN had significantly lower mortality compared with those treated with BH (p<0.001). In addition, surgery performed on Tuesday showed an association with higher 1-month mortality in the adjusted model. In the adjusted analysis for composite postoperative morbidity, no weekday category or surgical procedure was independently associated with the outcome. Conclusion: The day of surgery was not consistently associated with postoperative outcomes in geriatric hip fracture patients. Although an association between surgery performed on Tuesday and increased 1-month mortality was observed in the adjusted analysis, this isolated finding should be interpreted cautiously because it was not consistently supported across analyses and may reflect healthcare system organization rather than a true weekday-specific effect.

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Cite This Article

Tekşan, E., Dada, M. E. (2026). Does the day of surgery influence postoperative morbidity and mortality in geriatric hip fracture patients? A retrospective cohort study. Journal of Health Sciences and Medicine, Volume: 9 Issue: 5. https://doi.org/10.32322/jhsm.1915021

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References (18)

  1. Kanis JA, Odén A, McCloskey EV, Johansson H, Wahl DA, Cooper C. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 2012;23(9):2239-2256. doi:10.1007/s00198-012-1964-3
  2. Andaloro S, Cacciatore S, Risoli A, et al. Hip fracture as a systemic disease in older adults: a narrative review on multisystem implications and management. Med Sci (Basel). 2025;13(3):89. doi:10.3390/medsci 13030089
  3. Simunovic N, Devereaux PJ, Sprague S, et al. Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis. CMAJ. 2010;182(15):1609-1616. doi:10.1503/cmaj.092220
  4. Daugaard CL, Jørgensen HL, Riis T, Lauritzen JB, Duus BR, van der Mark S. Is mortality after hip fracture associated with surgical delay or admission during weekends and public holidays? A retrospective study of 38,020 patients. Acta Orthop. 2012;83(6):609-613. doi:10.3109/17453674. 2012.747926
  5. Rapp K, Büchele G, Dreinhöfer K, Bücking B, Becker C, Benzinger P. Epidemiology of hip fractures: systematic literature review of German data and an overview of the international literature. Z Gerontol Geriatr. 2019;52(1):10-16. doi:10.1007/s00391-018-1382-z
  6. Brox WT, Roberts KC, Taksali S, et al. The American Academy of Orthopaedic Surgeons evidence-based guideline on management of hip fractures in the elderly. J Bone Joint Surg Am. 2015;97(14):1196-1199. doi:10.2106/JBJS.O.00229
  7. Moja L, Piatti A, Pecoraro V, et al. Timing matters in hip fracture surgery: patients operated within 48 hours have better outcomes. A meta-analysis and meta-regression of over 190,000 patients. PLoS One. 2012;7(10):e46175. doi:10.1371/journal.pone.0046175
  8. Gonul R, Tasar PT, Tuncer K, et al. Mortality-related risk factors in geriatric patients with hip fracture. Ann Geriatr Med Res. 2023;27(2):126-133. doi:10.4235/agmr.23.0010
  9. Sayers A, Whitehouse MR, Berstock JR, Harding KA, Kelly MB, Chesser TJ. The association between the day of the week of milestones in the care pathway of patients with hip fracture and 30-day mortality: findings from a prospective national registry-the National Hip Fracture Database of England and Wales. BMC Med. 2017;15(1):62. doi:10.1186/s12916-017-0825-5
  10. Kastanis G, Topalidou A, Alpantaki K, Rosiadis M, Balalis K. Is the ASA score in geriatric hip fractures a predictive factor for complications and readmission? Scientifica (Cairo). 2016;2016:7096245. doi:10.1155/2016/ 7096245
  11. Pincus D, Ravi B, Wasserstein D, et al. Association between wait time and 30-day mortality in adults undergoing hip fracture surgery. JAMA. 2017;318(20):1994-2003. doi:10.1001/jama.2017.17606
  12. Kim RG, An VVG, Petchell JF. Hip fracture surgery performed out-of-hours-a systematic review and meta-analysis. Injury. 2021;52(4):664-670. doi:10.1016/j.injury.2021.02.049
  13. Blum MR, Tan YJ, Ioannidis JPA. Use of E-values for addressing confounding in observational studies-an empirical assessment of the literature. Int J Epidemiol. 2020;49(5):1482-1494. doi:10.1093/ije/dyz261
  14. Klestil T, Röder C, Stotter C, et al. Impact of timing of surgery in elderly hip fracture patients: a systematic review and meta-analysis. Sci Rep. 2018;8(1):13933. doi:10.1038/s41598-018-32098-7
  15. Schroeder JD, Turner SP, Buck E. Hip fractures: diagnosis and management. Am Fam Physician. 2022;106(6):675-683.
  16. Bhandari M, Devereaux PJ, Tornetta P 3rd, et al. Operative management of displaced femoral neck fractures in elderly patients. An international survey. J Bone Joint Surg Am. 2005;87(9):2122-2130. doi:10.2106/JBJS.E.00535
  17. Parker MJ, Khan RJ, Crawford J, Pryor GA. Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures in the elderly. A randomised trial of 455 patients. J Bone Joint Surg Br. 2002;84(8):1150-1155. doi:10.1302/0301-620x.84b8.13522
  18. Rasul S, Shetty S, Mortada M, et al. Comparative effectiveness of the proximal femoral nail and dynamic hip screw fixation in intertrochanteric femur fractures: a systematic review and meta-analysis. Cureus. 2025;17(10):e94767. doi:10.7759/cureus.94767