Renewable Energy Alaska Project

15% of patients with hip fracture older than 65 years in Israel have delayed surgery. The aim of this study was to determine which patient and/or organizational factors are associated with a delay of beyond 48 hours in hip fracture repair surgery. A retrospective cohort study of 281 patients with hip fracture who underwent surgery during 2019-2020. Characteristics of patients with early surgery ( n = 40) and patients with delayed surgery ( n = 241) were compared. Presence of a cardiac disease (odds ratio [OR] = 1.38), pulmonary disease (OR = 1.21), or obesity (OR = 1.18) was identified as risk factors for surgical delay. Each additional comorbidity increased the risk. Most of the documented reasons for delay were medical, with antiplatelet therapy the most common ( n = 8, 20%). Unavailable operating rooms were another common reason for delays ( n = 8, 20%). In addition, a higher percentage of patients with delayed surgery were admitted in August and September (42.5%). It seems that most delays were for medical reasons. However, it is unclear whether allegedly clinically justified delays were indeed of benefit to the patients. Health care organizations should strive to minimize the impact of organizational factors on surgical delay.

Ambroise C., « L’Idiot de la famille: una critica letteraria antistrutturalista », Aut-Aut, n° 137-139, 1973, p. 85-102. Améry C., « Die Wörter Gustave Flauberts: über Jean-Paul Sartres L’Idiot de la famille », Merkur, vol. 25, n° 12, 1971, p. 1197-1210. Aronson R., « L’Idiot de la famille: the Ultimate Sartre ? », Critical Essays on J.-P. Sartre, R. Wilcocks éd., Boston, G.K. Hall, 1988, p. 119-136. Barnes H. A., « Flaubert and Sartre on Madness in King Lear », Philosophy and Literature, vol...