Table 1.
Cross Table Year of Diagnosis and Preoperative and Intraoperative Patient Characteristics with Traumatic Proximal Femoral Fractures | ||||||
---|---|---|---|---|---|---|
2019 | 2020 | |||||
n | Valid% of Total | n | Valid% of Total | p-Value | ||
Total Patients | 26,830 | 100 | 26,300 | 100 | ||
Age | ||||||
18–39 years | 182 | 0.7 | 182 | 0.7 | ||
40–64 years | 2661 | 9.9 | 2572 | 9.8 | ||
>65 years | 23,987 | 89.4 | 23,546 | 89.5 | 0.853 | |
Gender | ||||||
Male | 8684 | 32.4 | 8620 | 32.8 | ||
Female | 18,145 | 67.6 | 17,677 | 67.2 | ||
Non-Bi | 1 | 0 | 3 | 0 | 0.356 | |
Race | ||||||
White | 17,426 | 91.2 | 16,003 | 89.8 | ||
African American | 934 | 4.9 | 938 | 5.3 | ||
AIAN | 108 | 0.6 | 99 | 0.6 | ||
API | 641 | 3.4 | 766 | 4.3 | ||
Other | 0 | 0 | 10 | 0.1 | <0.001 | |
Ethnicity | ||||||
Non-Hispanic | 17,802 | 93.2 | 16,973 | 93.4 | ||
Hispanic | 1295 | 6.8 | 1206 | 6.6 | 0.57 | |
Diabetes | ||||||
Type 1 | 2155 | 8 | 2109 | 8 | ||
Type 2 | 2909 | 10.8 | 2916 | 11.1 | ||
Non-Diabetic | 21,766 | 81.1 | 21,275 | 80.9 | 0.664 | |
Smoking Status | ||||||
Non-Smoker | 23,418 | 87.3 | 22,937 | 87.2 | ||
Smoker | 3412 | 12.7 | 3363 | 12.8 | 0.809 | |
Dyspnea | ||||||
At rest | 241 | 0.9 | 221 | 0.8 | ||
At moderate exertion | 2036 | 7.6 | 1904 | 7.2 | ||
No Dyspnea | 24,553 | 91.5 | 24,175 | 91.9 | 0.231 | |
Functional Status | ||||||
Independent | 20,885 | 78.5 | 20,118 | 77.2 | ||
Partially Dependent | 4822 | 18.1 | 4986 | 19.1 | ||
Fully Dependent | 888 | 3.3 | 967 | 3.7 | <0.001 | |
Ventilator Dependant | ||||||
Yes | 44 | 0.2 | 53 | 0.2 | ||
No | 26,786 | 99.8 | 26,247 | 99.8 | 0.311 | |
COPD | ||||||
Yes | 2802 | 10.4 | 2652 | 10.1 | ||
No | 24,028 | 89.6 | 23,648 | 89.9 | 0.172 | |
Ascites | ||||||
Yes | 71 | 0.3 | 73 | 0.3 | ||
No | 26,759 | 99.7 | 26,227 | 99.7 | 0.774 | |
CHF | ||||||
Yes | 1040 | 3.9 | 944 | 3.6 | ||
No | 25,790 | 96.1 | 25,356 | 96.4 | 0.081 | |
HTN | ||||||
Yes | 17,625 | 64.3 | 17,027 | 64.7 | ||
No | 9565 | 35.7 | 9273 | 35.3 | 0.345 | |
Disseminated Cancer | ||||||
Yes | 488 | 1.8 | 471 | 1.8 | ||
No | 26,342 | 98.2 | 25,829 | 98.2 | 0.809 | |
Presence of Wound | ||||||
Yes | 800 | 3 | 670 | 2.5 | ||
No | 26,030 | 97 | 25,630 | 97.5 | 0.002 | |
Steroid Use | ||||||
Yes | 1382 | 5.2 | 1287 | 4.9 | ||
No | 25,448 | 94.8 | 25,013 | 95.1 | 0.174 | |
≥10% loss of body weight | ||||||
Yes | 647 | 2.4 | 1054 | 4 | ||
No | 26,183 | 97.6 | 25,246 | 96 | <0.001 | |
Bleeding Disorder | ||||||
Yes | 3935 | 14.7 | 3814 | 14.5 | ||
No | 22,895 | 85.3 | 22,486 | 85.5 | 0.591 | |
Pre-Operative Transfusion | ||||||
Yes | 895 | 3.3 | 951 | 3.6 | ||
No | 25,935 | 96.7 | 25,349 | 96.4 | 0.078 | |
Pre-Operative Sepsis | ||||||
None | 23,413 | 87.3 | 22,650 | 86.1 | ||
SIRS | 3290 | 12.3 | 3511 | 13.3 | ||
Sepsis | 116 | 0.4 | 126 | 0.5 | ||
Septic Shock | 11 | 0 | 13 | 0 | 0.002 | |
Emergent | ||||||
Yes | 8437 | 31.4 | 9017 | 34.3 | ||
No | 18,393 | 68.6 | 17,283 | 65.7 | <0.001 | |
Pre-Operative Superficial Surgical Site Infection | ||||||
Yes | 5 | 0 | 2 | 0 | ||
No | 26,825 | 100 | 26,298 | 100 | 0.268 | |
Pre-Operative Deep Surgical Site Infection (Muscles/Fascia) | ||||||
Yes | 1 | 0 | 1 | 0 | ||
No | 26,829 | 100 | 26,299 | 100 | 0.989 | |
Pre-Operative Deep Organ Surgical Site Infection (Bone/ Joint) | ||||||
Yes | 3 | 0 | 5 | 0 | ||
No | 26,827 | 100 | 26,295 | 100 | 0.462 | |
Pneumonia | ||||||
Yes | 204 | 0.8 | 215 | 0.8 | ||
No | 26,626 | 99.2 | 26,085 | 99.2 | 0.457 | |
Pre-Operative Urinary Tract Infection | ||||||
Yes | 236 | 0.9 | 234 | 0.9 | ||
No | 26,594 | 99.1 | 26,066 | 99.1 | 0.803 | |
Wound Class | ||||||
Clean | 26,454 | 98.6 | 25,931 | 98.6 | ||
Clean/Contaminated | 318 | 1.2 | 320 | 1.2 | ||
Contaminated | 52 | 0.2 | 40 | 0.2 | ||
Dirty/Infected | 6 | 0 | 9 | 0 | 0.551 | |
ASA | ||||||
Class I | 253 | 0.9 | 229 | 0.9 | ||
Class II | 4623 | 17.3 | 4280 | 16.3 | ||
Class III | 16,503 | 61.6 | 16,247 | 61.9 | ||
Class IV | 5348 | 20 | 5458 | 20.8 | ||
Class V | 48 | 0.2 | 47 | 0.2 | 0.014 | |
Anesthesia | ||||||
General | 19,095 | 71.2 | 17,867 | 67.9 | ||
Regional | 5359 | 20 | 5800 | 22.1 | ||
Other | 2373 | 8.8 | 2630 | 10 | <0.001 | |
Surgical Procedure | ||||||
Hemiarthroplasty | 2851 | 10.6 | 2527 | 9.6 | ||
Total Hip Arthroplasty | 1561 | 5.8 | 1497 | 5.7 | ||
ORIF Neck or Prosthetic | 7851 | 29.3 | 7855 | 29.9 | ||
ORIF IT, Peritroch, Subtroch with plates and screws | 1862 | 6.9 | 1586 | 6 | ||
IM Nail for IT, Peritroch, Subtroch | 11,772 | 43.9 | 11,883 | 45.2 | ||
Other | 933 | 3.5 | 952 | 3.6 | <0.001 |