Danish medical journal · 2026
First defaecation and use of laxatives after hip fracture surgery.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Christensen Sanne Høj, Matthiesen Laura Houstrup, Kristensen Nicolai Kjældgaard, Korsgaard Patrick, Taghinejad-Fadakar Sarah, Funder Jonas Amstrup, Lange Jeppe
Аннотация
INTRODUCTION: Patients undergoing hip fracture surgery are at risk of developing constipation post-operatively. This study investigated time to first defaecation after surgery.
METHODS: This retrospective cohort study included patients undergoing hip fracture surgery at a regional hospital from 1 May to 30 September 2024. Patients underwent a standardised hip fracture regimen, focusing on surgery within 24 hours of admission, early mobilisation, optimised medication including dual-drug laxatives, and daily geriatric post-operative rounds. Data were obtained from patient files after prospective data entry by the nursing staff, who were instructed on correct registration during the study period.
RESULTS: We included 102 patients (64% women), with a median age of 83 years (IQR: 76-88 years). The mean time to defaecation after surgery was 2.7 days (SD: 1.5 days). In 24% of the patients, first defaecation occurred later than three days post-operatively. Time to defaecation correlated with length of hospital stay (r = 0.22; 95% CI: 0.04-1.5; p = 0.04). No difference in time to defaecation was observed between patients who were mobilised before or after post-operative day three (p = 0.91). Overall, 66 patients (65%) received laxatives beyond the standard regimen.
CONCLUSIONS: Despite being treated with a contemporary, dedicated hip fracture regimen, post-operative delayed defaecation remains a frequent problem, and patients often require additional laxatives. This finding highlights a need to optimise post-operative constipation in hip fracture patients.
FUNDING: None.
TRIAL REGISTRATION: Approved by the Central Denmark Region.
METHODS: This retrospective cohort study included patients undergoing hip fracture surgery at a regional hospital from 1 May to 30 September 2024. Patients underwent a standardised hip fracture regimen, focusing on surgery within 24 hours of admission, early mobilisation, optimised medication including dual-drug laxatives, and daily geriatric post-operative rounds. Data were obtained from patient files after prospective data entry by the nursing staff, who were instructed on correct registration during the study period.
RESULTS: We included 102 patients (64% women), with a median age of 83 years (IQR: 76-88 years). The mean time to defaecation after surgery was 2.7 days (SD: 1.5 days). In 24% of the patients, first defaecation occurred later than three days post-operatively. Time to defaecation correlated with length of hospital stay (r = 0.22; 95% CI: 0.04-1.5; p = 0.04). No difference in time to defaecation was observed between patients who were mobilised before or after post-operative day three (p = 0.91). Overall, 66 patients (65%) received laxatives beyond the standard regimen.
CONCLUSIONS: Despite being treated with a contemporary, dedicated hip fracture regimen, post-operative delayed defaecation remains a frequent problem, and patients often require additional laxatives. This finding highlights a need to optimise post-operative constipation in hip fracture patients.
FUNDING: None.
TRIAL REGISTRATION: Approved by the Central Denmark Region.