Extended Bayram Holidays and Surgical Timing in Orthopaedic Fracture Patients: A Matched-Control Study, 2016–2025

Öz

Aims: To assess whether admission during Ramadan Bayram or Eid al-Adha was associated with surgical timing in orthopaedic fracture patients. Hospital stay, surgery within 48 hours, and one-year reoperation were secondary outcomes. Methods: This single-centre retrospective matched-period cohort study included patients admitted between June 2016 and June 2025. Twenty Bayram holiday periods were matched with control periods of identical duration from the preceding two weeks. Patients requiring immediate surgery, those with open injuries, and those admitted directly to intensive care were excluded. Mixed-effects models adjusted for age, sex, ASA grade, femoral fracture status, and multiple fractures. Results: The cohort included 192 patients: 100 admitted during holiday periods and 92 during control periods. Median time to surgery was 4.5 days during holidays and 4.0 days during control periods (p=0.169). After adjustment, holiday admission was not associated with time to surgery (adjusted geometric mean ratio 1.03, 95% confidence interval 0.85–1.24; p=0.781). Surgery within 48 hours was similar between groups (36.0% vs 31.5%; p=0.512). Hospital stay was longer during holidays in the unadjusted analysis (median 9 vs 7 days; p=0.004), but not after adjustment (p=0.702). Older age was associated with longer time to surgery and hospital stay, while multiple fractures were associated with longer hospital stay. One-year reoperation rates were similar (6.0% vs 4.3%; p=0.750). Conclusion: Bayram holiday admission was not independently associated with delayed surgery, prolonged hospital stay, or one-year reoperation. Keywords: Fractures, Bone; Time-to-Treatment; Length of Stay; Reoperation; Holidays

Anahtar Kelimeler

• Fractures
• Bone
• Time to Treatment
• Length of Stay
• Reoperation
• Holidays

Uzatılmış Bayram Tatilleri ve Ortopedik Kırık Hastalarında Cerrahi Zamanlama: 2016–2025 Dönemine Ait Eşleştirilmiş Kontrollü Bir Çalışma

Öz

Amaç: Ramazan Bayramı veya Kurban Bayramı döneminde hastaneye başvurunun, ortopedik kırık hastalarında cerrahi zamanlama ile ilişkili olup olmadığını değerlendirmek. Hastanede yatış süresi, ilk 48 saat içinde ameliyat edilme ve bir yıllık yeniden ameliyat oranları ikincil sonuç ölçütleri olarak incelendi. Yöntemler: Bu tek merkezli, retrospektif, eşleştirilmiş dönemli kohort çalışmasına Haziran 2016 ile Haziran 2025 arasında hastaneye yatırılan hastalar dâhil edildi. Yirmi bayram tatili dönemi, tatilden önceki iki hafta içerisinden seçilen ve aynı süreyi kapsayan kontrol dönemleriyle eşleştirildi. Acil ameliyat gerektiren, açık yaralanması bulunan veya doğrudan yoğun bakım ünitesine yatırılan hastalar çalışma dışı bırakıldı. Karma etkili modeller; yaş, cinsiyet, ASA sınıfı, femur kırığı varlığı ve çoklu kırıklar açısından düzeltildi. Bulgular: Çalışmaya bayram döneminde yatırılan 100 ve kontrol döneminde yatırılan 92 olmak üzere toplam 192 hasta dâhil edildi. Cerrahiye kadar geçen medyan süre bayram dönemlerinde 4,5 gün, kontrol dönemlerinde ise 4,0 gündü (p=0,169). Düzeltilmiş analizde, bayram döneminde hastaneye başvuru cerrahiye kadar geçen süreyle ilişkili değildi (düzeltilmiş geometrik ortalama oranı 1,03; %95 güven aralığı 0,85–1,24; p=0,781). İlk 48 saat içinde ameliyat edilen hastaların oranı iki grupta benzerdi (%36,0’a karşı %31,5; p=0,512). Düzeltilmemiş analizde hastanede yatış süresi bayram dönemlerinde daha uzundu (medyan 9 güne karşı 7 gün; p=0,004); ancak bu fark düzeltme sonrasında anlamlılığını kaybetti (p=0,702). İleri yaş, cerrahiye kadar geçen sürenin ve hastanede yatış süresinin daha uzun olmasıyla ilişkiliyken, çoklu kırık varlığı yalnızca daha uzun hastanede yatış süresiyle ilişkiliydi. Bir yıllık yeniden ameliyat oranları iki grupta benzerdi (%6,0’a karşı %4,3; p=0,750). Sonuç: Bayram tatili döneminde hastaneye başvuru; cerrahi gecikme, hastanede yatış süresinin uzaması veya bir yıllık yeniden ameliyat oranı ile bağımsız olarak ilişkili değildi. Anahtar Kelimeler: Kemik Kırıkları; Tedaviye Kadar Geçen Süre; Hastanede Yatış Süresi; Yeniden Ameliyat; Tatiller

Anahtar Kelimeler

• Kemik Kırıkları
• Tedaviye kadar geçen süre
• Hastane yatış süresi
• Yeniden Ameliyat
• Tatiller

Kaynakça

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