Retrospective Cohort Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jun 18, 2023; 14(6): 399-410
Published online Jun 18, 2023. doi: 10.5312/wjo.v14.i6.399
Two surgical pathways for isolated hip fractures: A comparative study
Alexander A Fokin, Joanna Wycech Knight, Maral Darya, Ryan Stalder, Ivan Puente, Russell D Weisz
Alexander A Fokin, Joanna Wycech Knight, Maral Darya, Ryan Stalder, Ivan Puente, Russell D Weisz, Trauma and Critical Care Services, Delray Medical Center, Delray Beach, FL 33484, United States
Alexander A Fokin, Ivan Puente, Department of Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, United States
Joanna Wycech Knight, Ivan Puente, Trauma and Critical Care Services, Broward Health Medical Center, Fort Lauderdale, FL 33316, United States
Maral Darya, Ryan Stalder, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, United States
Ivan Puente, Department of Surgery, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, United States
Russell D Weisz, Department of Orthopedics, South Palm Orthopedics, Delray Beach, FL 33445, United States
Author contributions: Fokin AA and Weisz RD conceptualized the research study; Fokin AA, Wycech Knight J, Puente I, and Weisz RD designed the methodology; Fokin AA, Puente I, and Weisz RD were the project administrators and supervisors; Wycech Knight J, Darya M, and Stalder R performed the research; Wycech Knight J performed the software analysis; Fokin AA, Wycech Knight J, Darya M, Stalder R, Puente I, and Weisz RD performed formal data analysis and validation; Fokin AA, Wycech Knight J, Darya M, and Stalder R wrote the original draft of the manuscript; Fokin AA, Wycech Knight J, Darya M, Stalder R, Puente I, and Weisz RD performed manuscript review and editing; and all authors read and approved the final manuscript.
Institutional review board statement: This study was approved by the MetroWest Institutional Review Board, Framingham, MA under the protocol number: #2020-138.
Informed consent statement: This retrospective study was granted a waiver of informed consent by the MetroWest Institutional Review Board.
Conflict-of-interest statement: All the authors report having no relevant conflicts of interest for this article.
Data sharing statement: Deidentified data and study materials are available upon reasonable request from the corresponding author at alexander.fokin@tenethealth.com.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alexander A Fokin, Doctor, MD, Professor, Researcher, Trauma and Critical Care Services, Delray Medical Center, 5352 Linton Blvd, Delray Beach, FL 33484, United States. alexander.fokin@tenethealth.com
Received: December 13, 2022
Peer-review started: December 13, 2022
First decision: March 14, 2023
Revised: March 22, 2023
Accepted: April 27, 2023
Article in press: April 27, 2023
Published online: June 18, 2023
Core Tip

Core Tip: We evaluated 2094 hip fracture patients admitted for surgery to a level 1 trauma center over a 5-year period. Patients were stratified based on the admitting service, either trauma or medical. After a propensity score matching comparison of 66 patients in each group it was revealed that there was no difference in outcomes. Predictors of a prolonged hospital length of stay were increased American Society of Anesthesiology score and delayed time to surgery. Predictors of mortality were increased American Society of Anesthesiology score and increased age. The health condition of the patient, but not the admitting service, was the defining factor for management and outcomes.