Important takeaways:

• From 2010 to 2022, 12% of patients underwent in an American database delayed operation for distal radius fractures.
• Smoking status, comorbidies, insurance type and geographical region were associated with delays.

According to the results of a national database study that assessed data from 2010 to 2022, 12% of patients with Distal radius fractures underwent delayed surgical fixation, defined as surgery more than 2 weeks after injury.

The results showed clinical factors, such as smoking status and comorbidies, and non -clinical factors, such as insurance type and geographical region, were significant predictors for delayed operation.

“Understanding the predictors of delayed fixation of distal radius fractures can help surgeons and care teams identify patients with risk and customized interventions to ensure faster surgical care,” Philip P. Ratnasamy, BS, And colleagues from the department for orthopedics and rehabilitation at the Yale School of Medicine, wrote in the study. “By dealing with the differences and obstacles identified in this study, it may be possible to improve the effectiveness of the treatment delivery and, by extension, patient satisfaction and results.”

Ratnasamy and colleagues used 2010 to 2022 data from the PearlDiver database to perform a retrospective cohort study of 90,570 patients who underwent surgical fixation of a distal radius fracture within 52 weeks after the first injury.

According to the study, immediate surgery was defined when the operation was performed within two weeks of injury, while delayed surgery was defined when the operation was performed between 3 weeks and 52 weeks after injury.

Overall, 12% of patients (n = 10,887) underwent delayed surgery, while 88% of patients (n = 76 683) underwent immediate surgery.

“12% of delayed surgery in the current study was particularly less than the aggregate frequency of almost 28% reported in the literature,” Ratnasamy and colleagues wrote.

Ratnasamy and colleagues found tobacco use (OR = 1.31; 95% CI, 1.2-1.42) and increased ELIXHAUSER-GOBILITIVE index (OR = 1.14 per 2-point increase; 95% CI, 1.12-1 , 15) were clinical factors associated with delayed operation.

Medicaid insurance (OR = 1.62; 95% CI, 1.49-1.75) and geographical regions west (OR = 1.39; 95% CI, 1.3-1,49), northeast (OR = 1.37; 95% CI, 1.29-1.46) and south (or = 1.21; 95% CI, 1.15-1.28) were non-clinical factors associated with delayed operation.

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