Factors Affecting One-year Mortality of Elderly Patients After Surgery for Hip Fracture

Wu, Li-Chu; Chou, Ming‐Yueh; Liang, Chih‐Kuang; Lin, Yu-Te; Ku, Yan-Chiou; Wang, Ruey‐Hsia

doi:10.1016/j.ijge.2016.02.004

Cited by 10 publications

(13 citation statements)

References 22 publications

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“…Also the relations of gender and comorbidities with mortality risk found in correlation analysis were lost in multiple regression models. Although the former association has not been unequivocally demonstrated in the literature [38,39] studies pointing at male gender as a risk factor after hip fracture were conducted in vulnerable populations, characterized by multiple comorbidities and high functional dependence [21]. This is not the case of our study cohort, whose preoperative functional status was only mildly impaired, suggesting that in this setting, other risk factors may have a heavier impact on mortality than functional activities and comorbidities.…”

Section: Discussionmentioning

confidence: 61%

Poor nutritional status but not cognitive or functional impairment per se independently predict 1 year mortality in elderly patients with hip-fracture

Zanetti

Cappellari

Ratti³

et al. 2019

Clinical Nutrition

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Section: Discussionmentioning

confidence: 61%

Poor nutritional status but not cognitive or functional impairment per se independently predict 1 year mortality in elderly patients with hip-fracture

Zanetti

Cappellari

Ratti³

et al. 2019

Clinical Nutrition

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“…Additionally, a high ASA Score was strongly associated with mortality as expected. 41 Furthermore, the data did not demonstrate a statistical difference between the type of surgery performed in terms of mortality rates. [42][43][44] However, the type of fracture sustained, in this case neck of femur fractures, showed a significant association with 1-year mortality.…”

Section: Discussionmentioning

confidence: 74%

One-year postoperative mortality rate among the elderly with hip fractures at a single tertiary care center

et al. 2020

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BACKGROUND: Hip fractures are one of the leading causes of disability and dependency among the elderly. The rate of hip fractures has been progressively increasing due to the continuing increase in average life expectancy. Surgical intervention is the mainstay of treatment, but with an increasing prevalence of comorbid conditions and decreased functional capacity in elderly patients, more patients are prone to postoperative complications. OBJECTIVES: Assess the value of surgical intervention for hip fractures among the elderly by quantifying the 1-year mortality rate and assessing factors associated with mortality. DESIGN: Medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: All patients 60 years of age or older who sustained a hip fracture between the period of 2008 to 2018 in a single tertiary healthcare center. Data was obtained from case files, using both electronic and paper files. MAIN OUTCOME MEASURES: The 1-year mortality rate for hip fracture, postoperative complications and factors associated with mortality. SAMPLE SIZE: 802 patients. RESULTS: The majority of patients underwent surgical intervention (93%). Intra- and postoperative complications were 3% and 16%, respectively. Four percent of the sample died within 30 days, and 11% died within one year. In a multivariate analysis, an increased risk of 1-year mortality was associated with neck of femur fractures and postoperative complications ( P =.034, <.001, respectively) CONCLUSION: The 1-year mortality risk in our study reinforces the importance of aggressive surgical intervention for hip fractures. LIMITATION: Single-centered study. CONFLICT OF INTEREST: None.

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“…[ 17 18 ] In our study 19 out of 95 (20%) patients died during first 12 months. In a study by Wu et al .,[ 19 ] the death rate at the end of 12 months was found to be 20.1%. In another study by Ozturk et al .…”

Section: Discussionmentioning

confidence: 99%

“…Similar findings were reported in most other studies. [ 19 20 23 ] Paksima et al . [ 17 ] found higher mortality rate in males as compared to females.…”

Section: Discussionmentioning

confidence: 99%

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One-year mortality rates and factors affecting mortality after surgery for fracture neck of femur in the elderly

Goyal

Dhingra

Yadav

et al. 2021

Journal of Mid-Life Health

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Context: Fractures around hip in elderly are associated with significant morbidity and mortality. Aim: This sudy aims to investigate 1-year mortality rates and risk factors associated with this mortality. Effect of delay in surgery on mortality rates will also be studied. Our null-hypothesis was that there is no association between common comorbid conditions or delay in surgery on 1-year mortality rates. Study Settings and Design: Patients 60-years and above who underwent operative treatment for fracture of neck of femur between January 2018 and February 2019 were included in this retrospective study. Materials and Methods: Demographic and clinical data were collected from hospital information system and inpatient case records. Patients were followed up with quality of life (QoL) assessment with short form-12 (SF-12) at 1 year. Mortality during this period was also evaluated. Statistical Analysis: Continuous factors were expressed as means, standard deviations. Different risk factors between the patients alive and dead were studied using Fisher's exact test. Results: Nineteen out of 95 patients died at the end of 1 year. Smoking, hypertension, diabetes, low hemoglobin, raised total leukocyte count, low serum albumin, delay in surgery (>1 week), higher American Society of Anesthesiologist grade, and postoperative blood transfusion were significantly associated with higher mortality rates. Mean SF-12 QoL scores at 1 year was 35.6 ± 6.3. Conclusion: Hip fractures in elderly are associated with higher mortality rates. Results of this study indicate that patients at a higher risk of mortality may be identified and help in preoperative optimization with the aim to reduce mortality. However, these findings need to be verified by further studies with a relatively larger sample size and longer follow-up period.

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Factors Affecting One-year Mortality of Elderly Patients After Surgery for Hip Fracture

Cited by 10 publications

References 22 publications

Poor nutritional status but not cognitive or functional impairment per se independently predict 1 year mortality in elderly patients with hip-fracture

Poor nutritional status but not cognitive or functional impairment per se independently predict 1 year mortality in elderly patients with hip-fracture

One-year postoperative mortality rate among the elderly with hip fractures at a single tertiary care center

One-year mortality rates and factors affecting mortality after surgery for fracture neck of femur in the elderly

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