Pelvic Ring Surgery for Older Patients: Benefits & Outcomes
- Lee and colleagues reviewed data from 321,305 patients older than 60 years who presented to the hospital from 2016 to 2022 wiht an isolated pelvic ring injury.
- Patients were categorized into groups based on whether they had surgery within 3 days of admission (early operative group),surgery between 3 days and 3 weeks of admission (delayed...
- Lee and colleagues found the majority of older patients with pelvic ring injuries were treated nonoperatively.
January 21, 2026
2 min read
Lee and colleagues reviewed data from 321,305 patients older than 60 years who presented to the hospital from 2016 to 2022 wiht an isolated pelvic ring injury.
Carol Lee
Patients were categorized into groups based on whether they had surgery within 3 days of admission (early operative group),surgery between 3 days and 3 weeks of admission (delayed operative group) or were treated nonoperatively. Outcomes measured included length of stay, readmission rates, opiate prescriptions, total costs and discharge to a skilled nursing facility.
Lee and colleagues found the majority of older patients with pelvic ring injuries were treated nonoperatively. According to Lee, patients in the nonoperative group were on average older, more likely to be women and had a higher comorbidity score compared with those in the early operative and delayed operative groups.
in addition, Lee said the delayed operative group had longer length of stay (9.6 days) compared with the early operative group (8.4 days) and nonoperative group (8.1 days), as well as greater total costs ($23,413.80 vs. $16,884.99 vs. $11,213.90, respectively). She said 26.4% of patients in the delayed operative group were discharged to a skilled nursing facility compared with 22.2% in the early operative group and 19.8% in the nonoperative group. Readmission rates were also higher among the delayed operative group at 23.2% vs. 13.4% in the early operative group and 8.4% in the nonoperative group,according to Lee.
Based on these results, Carol A. Lin,MD, study investigator and associate professor in orthopedics at Cedars-Sinai,said the focus now shifts to identifying which specific subsets of patients benefit most from surgery through randomized controlled trials.
Carol A. Lin
“It is part of the effort to change the paradigm. There is a lot more nuance in some of this clinical decision-making,” Lin told Healio. “Historically, everyone would just be nonoperative. But it is cool to be a part of the scientific effort to investigate that nuance f
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Healio: A Leading Source of Medical News
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Orthopedics coverage on Healio
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