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The all-cause 30-day complication rate also decreased annually (annual risk difference -0.35%, 95% CI -0.50%, -0.20%; ). For individual complications, we found significant decreases in deep infection (-0.2%, ), reintubation (-0.3%, ), urinary tract infection (-2.5%, ), and death (-1.3%, ). We found significant but small increases of pulmonary embolism (0.3%, ) and myocardial infarction (0.1%, ). Higher rates of complications were associated with increased time-to-surgery ( ). From 2011 to 2017, time-to-surgery for hip fracture decreas