A comparative study of postoperative complications in patients undergoing hip fracture surgery within 48 hours and 72 hours at Chiangkham Hospital, Phayao Province
Keywords:
Elderly, Hip fracture, Clinical outcome, Complication, Early hip fracture surgeryAbstract
This retrospective cohort study aimed to compare clinical outcomes and complications in patients aged 60 years and above who underwent hip fracture surgery within 48 hours and 48-72 hours after admission to Chiangkham Hospital, Phayao Province, between October 1, 2020, and June 30, 2024. A total of 148 patients
were included, divided into two groups: those who received surgery within 48 hours (n=104) and those who received surgery between 48-72 hours (n=44). Data were analyzed using descriptive statistics, Chi-square test, Fisher's exact test, t-test, Linear regression and Logistic regression. The results showed that the group receiving surgery within 48-72 hours had a significantly higher rate of urinary tract infections (47.72% vs 27.88%, p=0.020), with a 2.36 times higher risk (95% CI: 1.15-4.83, p=0.019). This group also had a significantly longer hospital stay (p=0.015) and higher treatment costs (p=0.011). No significant differences were found in other complications. Hip fracture surgery in patients within 48 hours after admission may help reduce the risk of urinary tract infections, decrease hospital stay duration, and lower treatment costs. These findings support the early surgery approach and reduce complications for this patient group.
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