الفهرس 
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Abstract
Introduction : One of the main load-bearing bones in the lower extremity, the femur is the longest, strongest, and heaviest tubular bone in the human body. Adults who sustain femur fractures may experience life-threatening complications and injuries, such as haemorrhage, internal organ damage, wound infection, fat embolism, and adult respiratory distress syndrome (Prakash et al., 2020). one of the most urgent problems facing society today is the rising cost of healthcare. In particular, many inner-city hospitals are having a difficult time making ends meet while trying to treat patients who are uninsured and indigent. In the past ten years, a fresh body of medical literature has emerged that focuses on clinical decision-making with the goal of saving hospitals and patients money. These studies demonstrate that one of the most accurate predictors of post-traumatic cost is length of stay (LOS)(Mathew et al., 2018). Aim of study : The aim of the present study is to determine the average hospitalization period after femoral fractures admitted to Mansoura University Emergency hospital. In addition, analyzing factors affected the length of stay to see if any interventions expedite hospital discharge and reduce hospital and patient expenses. Methods : A total of 281 cases diagnosed with femur fractures and presented to Mansoura University Emergency hospital were included in the current study .they were divided in 2 groups . all patient were over 18 yrs old. Results : The age of the included patients ranged between 18 and 97 years (mean = 42.8). Women represented 56.9% of the study participants. FFH was the most common cause of fractures (37%). The femoral shaft was the most commonly affected region (56.6%). The time interval between the incidence of the fracture and surgical intervention ranged between 0 and 14 days (mean = 2.68). The included patients were divided into two groups, based on the duration of hospitalization. Conclusion: The average hospitalization period after femur fractures is 10.4 days (range, 1 – 23). • Factors that increase the risk of longer hospitalization (more than one week) include older age, long time interval between injury and fixation, low GCS, high MFI, associated skeletal or non-skeletal injuries, penetrating injuries, and need for mechanical ventilation.