One-year mortality of elderly patients with hip fracture surgically treated at a hospital in Southern Brazil

Guerra, Marcelo Teodoro Ezequiel; Viana, Roberto Deves; Feil, Liégenes; Feron, Eduardo Terra; Maboni, Jonathan; Vargas, Alfonso Soria‐Galvarro

doi:10.1016/j.rboe.2016.11.006

Cited by 37 publications

(37 citation statements)

References 28 publications

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“…Hip fracture in the elderly is an important problem that can lead to death. Many studies reported the mortality rates of hip surgery after 1 year ranged from 12.7 to 29.2% [5][6][7][8]. In our study, the total mortality rate 1 year after injury was 16.6%, similar to those reported previously.…”

Section: Discussionsupporting

confidence: 90%

Do we really need a surgery for hip fractures in elderly patients? Mortality rate and influencing factors

2019

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Background: Hip fractures are associated with notable mortality rates in elderly patients. The purpose of the study was to evaluate the mortality rate and influencing factors associated with mortality in the elderly patients with hip fractures. Methods: Between October 2000 and December 2009, 807 elderly patients with hip fractures were enrolled in this study. There were 197 men and 610 women. The mean age at injuries were 78 years (range, 65-99 years). The fractures consisted of 390 femoral neck fractures and 417 intertrochanteric fractures. The mortality rate was evaluated between patients who underwent surgical and nonsurgical treatments. The influencing factors associated with mortality rate were evaluated statistically. Results: Overall, 691 (85.6%) patients treated surgically and 116 (14.4%) patients treated nonsurgically were included. The overall mortality rates one and two years after injuries were 16.6 and 39.4%, respectively. In surgical treatment group, the mortality rate one and two years after injuries were 12.0 and 35.7%, respectively. In nonsurgical treatment group, the mortality rates were 44.0 and 61.2%, respectively (p < 0.05). No significant difference was noted between the types of fractures and the time from injury to surgery. Regardless of surgical methods, a significantly higher mortality rate was observed in patients with heart disease, chronic renal disease, dementia, and cancer, or in patients with 3 or more comorbidities. Conclusions: In elderly patients with hip fractures, surgical treatments can decrease the mortality rate as compared with nonsurgical treatments. In addition, patients who had three or more comorbidities (heart disease, chronic renal failure, dementia, and history of cancer) are associated with a higher risk of mortality. Trial registration: Retrospectively registered.

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Section: Discussionsupporting

confidence: 90%

Do we really need a surgery for hip fractures in elderly patients? Mortality rate and influencing factors

2019

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“…The mortality rate reported in the literature ranges from 23.6% to 35.0%. 14 , 15 The mortality rate did not change from 2006 13 to the present study despite the fact that the number of fractures increased. In 2008, Haleem et al.…”

Section: Discussioncontrasting

confidence: 51%

Morbidity and mortality after fragility hip fracture in a Saudi Arabian population: Report from a single center

et al. 2017

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ObjectiveTo determine the functional morbidity and mortality after fragility hip fracture and compare the mortality with three other common diseases.MethodsData were collected from patients admitted to King Fahd Hospital of the University, AlKhobar from January 2010 to December 2014. Demographic data included the preoperative American Society of Anesthesiologists (ASA) score as assessed by the anesthetist and the type of surgery. Personal and telephone interviews were performed, and data were entered into a database and analyzed.ResultsWe identified 203 patients with fragility proximal femoral fractures, and the data of 189 patients (109 male, 80 female; average age, 66.90 ± 13.43 years) were available for analysis. The overall mortality rate was 26.98% (51 patients). The mortality rate was significantly higher among patients with an ASA score of 4 (36.36%) than 1 (20.45%). With respect to morbidity, only 48.23% of patients were able to return to their pre-fracture status; 32.35% of those who required assisted walking and 83.4% of those who required a wheelchair became bedridden.ConclusionsOur data demonstrate that patients with fragility hip fractures have high morbidity and a mortality rate approaching 30%. Age and the ASA score significantly influence this high mortality rate.

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“…As such, we believe that the demographics of Forster et al 12 may justify the higher mortality rates in their study, since our investigation revealed that older age and longer hospitalization periods increase the mortality rate. 13 14 15 16 17 18 19 On the other hand, compared to our study, Garcia et al 20 obtained a lower mortality rate at 6 months and at 1 year of follow-up (14% and 30%, respectively), as did Guerra et al, 13 with a 1-year mortality rate of 23.6%. Wood et al 21 and Parker et al 22 observed mortality rates of ∼ 14% at the 1-year follow-up.…”

Section: Discussionsupporting

confidence: 48%

Fatores preditivos de morte após cirurgia para tratamento de fratura proximal do fêmur

Loures¹

2019

Rev Bras Ortop

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Resumo Objetivo Avaliar fatores preditivos de morte em pacientes de idade igual ou superior a 70 anos com fratura proximal do fêmur submetidos a tratamento cirúrgico. Métodos Análise de prontuários médicos criando-se uma coorte retrospectiva com seguimento de 6 meses. Foram analisados 124 prontuários após aplicação dos critérios de inclusão e exclusão. Todos os pacientes foram tratados por um único cirurgião ortopédico em condições de uniformidade. Resultados Taxa de mortalidade de 34.7%, sendo o perfil mais comum de paciente o indivíduo do gênero feminino, com 85 anos e ao menos 1 comorbidade. Os pacientes com idade superior a 85 anos, internação hospitalar por mais de 7 dias, ao menos 1 comorbidade presente e internação em centro de terapia intensiva (CTI) apresentaram maior risco de óbito (respectivamente 2; 2,5; 4 e 4 vezes maior). Conclusão Em relação ao desfecho óbito, apesar de não encontramos diferença estatisticamente significativa no que se refere à topografia da lesão e como essas se comportam no momento em que coexistem junto a internação em CTI, acreditamos na necessidade de maiores investigações sob essa ótica na população com o perfil estudado.

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One-year mortality of elderly patients with hip fracture surgically treated at a hospital in Southern Brazil

Cited by 37 publications

References 28 publications

Do we really need a surgery for hip fractures in elderly patients? Mortality rate and influencing factors

Do we really need a surgery for hip fractures in elderly patients? Mortality rate and influencing factors

Morbidity and mortality after fragility hip fracture in a Saudi Arabian population: Report from a single center

Fatores preditivos de morte após cirurgia para tratamento de fratura proximal do fêmur

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