Capacity-related surgical delay linked to higher mortality after hip fracture

This retrospective, propensity-matched cohort study from a U.K. teaching hospital examined hip fracture surgery delays caused specifically by limited operative capacity, excluding delays for medical optimization. The study reported that capacity-related delay beyond 36 hours was associated with increased 365-day mortality (HR 1.37) and an even greater hazard within the first 30 days (HR 1.71), with the effect most pronounced in patients with higher Clinical Frailty Scale scores (OR 1.76) and not statistically significant in less frail patients.

Most relevant for: Older adults, particularly frailer patients, awaiting hip fracture surgery in settings where operative capacity may limit timely access to the operating room.

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