Table 3. Primary and Secondary Outcomes After Matchinga.
Outcome | No. (%) of Patients | Absolute Risk Difference, % (95% CI) | P Valueb | |
---|---|---|---|---|
≤24 Hours (n = 13 731) |
>24 Hours (n = 13 731) |
|||
Primary Outcome | ||||
30-d Mortality | 790 (5.8) | 898 (6.5) | 0.79 (0.23 to 1.35) | .006 |
Secondary Outcomes | ||||
Mortality, d | ||||
90 | 1463 (10.7) | 1649 (12.0) | 1.35 (0.61 to 2.10) | <.001 |
365 | 2654 (19.3) | 2971 (21.6) | 2.31 (1.47 to 3.25) | <.001 |
Pulmonary embolism, d | ||||
30 | 96 (0.7) | 166 (1.2) | 0.51 (0.28 to 0.74) | <.001 |
90 | 118 (0.9) | 191 (1.4) | 0.53 (0.28 to 0.78) | <.001 |
365 | 152 (1.1) | 228 (1.7) | 0.55 (0.28 to 0.83) | <.001 |
Deep venous thrombosis, d | ||||
30 | 111 (0.8) | 136 (1.0) | 0.18 (−0.04 to 0.40) | .11 |
90 | 169 (1.2) | 190 (1.4) | 0.15 (−0.11 to 0.42) | .26 |
365 | 255 (1.9) | 259 (1.9) | 0.03 (−0.29 to 0.35) | .86 |
Pneumonia, d | ||||
30 | 506 (3.7) | 637 (4.6) | 0.95 (0.48 to 1.43) | <.001 |
90 | 671 (4.9) | 800 (5.8) | 0.94 (0.41 to 1.47) | <.001 |
365 | 1101 (8.0) | 1245 (9.1) | 1.05 (0.39 to 1.71) | .002 |
Myocardial infarction, d | ||||
30 | 107 (0.8) | 160 (1.2) | 0.39 (0.15 to 0.62) | .001 |
90 | 126 (0.9) | 181 (1.3) | 0.40 (0.15 to 0.65) | .002 |
365 | 184 (1.3) | 231 (1.7) | 0.34 (0.06 to 0.63) | .02 |
Composite outcome, dc | ||||
30 | 1383 (10.1) | 1680 (12.2) | 2.16 (1.43 to 2.89) | <.001 |
90 | 2153 (15.7) | 2492 (18.1) | 2.47 (1.59 to 3.34) | <.001 |
365 | 3568 (26.0) | 4009 (29.2) | 3.21 (2.17 to 4.25) | <.001 |
Negative tracer outcomes, dd | ||||
Hardware removal | ||||
30 | 54 (0.4) | 47 (0.3) | −0.05 (−0.19 to 0.09) | .49 |
90 | 156 (1.1) | 140 (1.0) | −0.12 (−0.36 to 0.13) | .35 |
365 | 384 (2.8) | 347 (2.5) | −0.27 (−0.65 to 0.11) | .16 |
Postoperative hip dislocation | ||||
30 | 24 (0.2) | 28 (0.2) | 0.05 (−0.07 to 0.13) | .58 |
90 | 43 (0.3) | 43 (0.3) | 0 (−0.13 to 0.13) | >.99 |
365 | 59 (0.4) | 54 (0.4) | −0.04 (−0.19 to 0.12) | .64 |
Greedy matching occurred 1:1 on the logit of a propensity score with a caliper of 0.2 × SD; 96.9% of eligible patients who found matches.
P values were calculated using the McNemar test.
Mortality and other medical complications.
Surgical complications presumed to be unrelated to wait times were assessed as negative tracer outcomes intended to test the specificity of the findings.