Two surgical pathways for isolated hip fractures: A comparative study

Table 1 General comparison between all trauma pathway and medical pathway patients, n (%)

Variable	Trauma, n = 69	Medicine, n = 2025	P value
Age in yr	72.9 (17.5)	83.2 (9.2)	0.000a
Geriatric	47 (68.1)	1928 (95.2)	0.000a
Sex, female/male	44 (63.8)/25 (36.2)	1367 (67.5)/658 (32.5)	0.515
Mechanism of injury	-	-	0.000a
Fall	51 (73.9)	2005 (99.0)	-
MVC	18 (26.1)	11 (0.5)	-
Stress fracture	0 (0.0)	9 (0.4)	-
Admission day	-	-	0.171
Monday	10 (14.5)	317 (15.7)	-
Tuesday	12 (17.4)	281 (13.9)	-
Wednesday	16 (23.2)	268 (13.2)	-
Thursday	5 (7.2)	311 (15.4)	-
Friday	10 (14.5)	297 (14.7)	-
Saturday	7 (10.1)	276 (13.6)	-
Sunday	9 (13.0)	275 (13.6)
Hip fracture type	-	-	0.000a
Femoral neck/head	28 (40.6)	972 (48.0)	-
Intertrochanteric	35 (50.7)	1020 (50.4)	-
Intertrochanteric with subtrochanteric	6 (8.7)	33 (1.6)	-
Hip surgery type	-	-	0.205
Total arthroplasty	4 (5.8)	177 (8.7)	-
Hemi arthroplasty	15 (21.7)	613 (30.3)	-
Open reduction and internal fixation	47 (68.1)	1116 (55.1)	-
Pinning	3 (4.3)	119 (5.9)	-
ASA score before hip surgery	2.8 (0.6)	2.9 (0.6)	0.044a
ASA score before hip surgery	-	-	0.079
I	1 (1.4)	9 (0.4)	-
II	21 (30.4)	393 (19.4)	-
III	41 (59.4)	1393 (68.8)	-
IV	6 (8.7)	230 (11.4)	-
No. of consultations before hip surgery	0.9 (0.9)	0.9 (0.8)	0.620
Time: Admission to hip surgery in h	23.0 (13.4)	27.0 (28.5)	0.255
Hospital length of stay in d	6.3 (4.4)	5.7 (4.9)	0.347
Mortality	2 (2.9)	62 (3.1)	0.938
Hospital disposition	-	-	0.068
Skilled nursing facility	28 (40.6)	1147 (56.6)	-
Rehabilitation	25 (36.2)	589 (29.1)	-
Home	13 (18.8)	212 (10.5)	-
Hospice	1 (1.4)	51 (2.5)	-
Expired in hospital	1 (1.4)	11 (0.5)	-
Long-term acute care facility	1 (1.4)	15 (0.7)	-

^aP < 0.005 denotes significant difference.

ASA: American Society of Anesthesiologists; MVC: Motor vehicle collision; SD: Standard deviation.