Patient demographic and medical, surgical and anesthetic characteristics, by treatment group
Characteristic | No. (%) of patients* | |
---|---|---|
Accelerated care n = 30* | Standard care n = 30 | |
Age, yr, mean ± SD | 80 ± 10 | 83 ± 9 |
Female sex | 17 (57) | 21 (70) |
History of stroke | 8 (27) | 3 (10) |
History of TIA | 0 | 2 (7) |
History of CAD | 5 (17) | 7 (23) |
History of coronary revascularization | 3 (10) | 1 (3) |
Moderate to severe aortic stenosis | 0 | 1 (3) |
History of PAD | 2 (7) | 1 (3) |
History of atrial fibrillation | 5 (17) | 7 (23) |
History of CHF | 2 (7) | 1 (3) |
CHF in hospital before randomization | 0 | 1 (3) |
History of DVT | 1 (3) | 4 (13) |
Troponin T elevation in hospital before randomization | 1 (3) | 3 (10) |
History of hypertension | 20 (67) | 21 (70) |
History of diabetes | 3 (10) | 1 (3) |
History of COPD | 3 (10) | 3 (10) |
UTI in hospital before randomization | 0 | 1 (3) |
eGFR < 30 mL/min | 4 (13) | 3 (10) |
History of dementia | 6 (20) | 4 (13) |
Assistance with ADL before fracture | 8 (27) | 10 (33) |
Walking aid before fracture | 14 (47) | 15 (50) |
Residence in a nursing home before fracture | 6 (20) | 6 (20) |
Time from fracture to ED, h, median (Q1–Q3) | 1.9 (1.2–6.2) | 1.6 (1.1–3.5) |
Time from arrival to diagnosis, h, median (Q1–Q3) | 2.9 (2.4–5.3) | 2.5 (1.5–3.0) |
Fracture type | ||
Femoral neck | 17 (57) | 14 (47) |
Intertrochanteric | 12 (40) | 13 (43) |
Subtrochanteric | 1 (3) | 3 (10) |
Surgery performed | n = 29† | |
Open reduction and internal fixation | 17 (59) | 16 (53) |
Arthroplasty | 12 (41) | 14 (47) |
Anesthetic | n = 29† | |
Neuroaxial | 25 (86) | 24 (80) |
General | 4 (14) | 6 (20) |
Note: ADL = activities of daily living, CAD = coronary artery disease, CHF = congestive heart failure, COPD = chronic obstructive pulmonary disease, DVT = deep vein thrombosis, ED = emergency department, eGFR = estimated glomerular filtration rate, PAD = peripheral arterial disease, Q = quartile, SD = standard deviation, TIA = transient ischemic attack, UTI = urinary tract infection.
↵* Unless stated otherwise.
↵† One patient declined surgery after enrolment.