Prediction of survival in patients with femoral neck fractures

Gk, Ions; Stevens, Jack

doi:10.1302/0301-620x.69b3.3584189

Cited by 118 publications

(56 citation statements)

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“…Van Balen et al 21 report that 67% of the patients showed two or more associated diseases to femoral fracture, and mortality rates range from 4% for patients with one associated disease, 15% in those with two associated diseases, 26% in those with three, and 47% when four or more concomitant diseases are found. Mortality rate ranges from 14 to 36% according to some authors [22][23][24] . Cunha et al 25 report a rate of 25%.…”

Section: Deathsmentioning

confidence: 99%

Evolução funcional nas fraturas da extremidade proximal do fêmur

2009

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Objectives: To assess the functional capacity evolution and the physiologic score in patients with proximal femoral end fractures, as well as to compare the final results of the treatment provided to the several pre-fracture variables. Materials and Methods: A prospective study with patients over 40 years old diagnosed with proximal femoral fracture. The patients were submitted to a pre-established protocol and followed up on an outpatient basis for a period of one year. Results: 68 patients were assessed (27 men and 41 women), with a mean age of 75,84 years. 83,82% were submitted to surgical treatment. The early mean physiologic score was 17,16 points All authors state no potential conflict of interest concerning this article

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Section: Deathsmentioning

confidence: 99%

Evolução funcional nas fraturas da extremidade proximal do fêmur

2009

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“…5 High complication and mortality rates associated with hip fractures have been well documented in the literature. [6][7][8][9][10][11][12][13][14][15] Poor outcomes may be predicted by patient comorbidities, surgical timing, and surgical volume. 7,[15][16][17][18][19][20][21][22][23][24][25][26][27] The effect of surgical time of day on hip fracture outcome is less clear.…”

Section: Introductionmentioning

confidence: 99%

Surgical Time of Day Does Not Affect Outcome Following Hip Fracture Fixation

Switzer

Bennett

Wright

et al. 2013

Geriatr Orthop Surg Rehabil

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Background: Due to the need for medical optimization and congested operating room schedules, surgical repair is often performed at night. Studies have shown that work done at night increases complications. The primary aim of our study is to compare the rates of complications and 30-day mortality between 2 surgical times of day, daytime group (DTG, 07:00-15:59) and nighttime group (NTG,. Methods: Retrospective chart review from 2005 through 2010. Setting: Level 1 Trauma Center. Participants: 1443 patients with hip fracture, age 50 years with isolated injury and surgical treatment of the fracture. Main Outcomes and Measures: Thirty-day mortality and complications: myocardial infarction, cardiac event, stroke, central nervous system event, pneumonia, urinary tract infection, postoperative wound infection, and bleeding requiring transfusion of 3 or more red blood cell units. Results: A total of 859 patients met the inclusion criteria; 668 patients in the DTG and 191 patients in the NTG. The 30-day mortality was 7.8%. The complication rate was 28%. No difference was found in 30-day mortality or complication rate based on the time of day the surgery was performed (P ¼ 1.0 and P ¼ .92, respectively). This remained unchanged when controlling for health status and surgical complexity. Age (odds ratio ¼ 1.03/year), Charlson Comorbidity Index (CCI; odds ratio ¼ 1.21), and American Society of Anesthesiologists (ASA; odds ratio ¼ 1.85) score were predictive of adverse outcomes. Conclusion: Surgical time of day did not affect 30-day mortality or total number of complications. Age, ASA score, and CCI were associated with adverse outcomes.

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“…However, Parker and Pryor (2000) found that internal fixation and uncemented hemiarthroplasty were equally good in patients over 70 years. The demented patient with a displaced femoral neck fracture poses a special problem because of the higher risk of dislocation of the prosthesis (Khan et al 1981, Woolson andRahimtoola 1999) and higher mortality after a femoral neck fracture (Ions andStevens 1987, Clayer andBauze 1989). van Dortmont et al (2000) considered internal fixation safer in this patient group, since they had a higher mortality after hemiarthroplasty than lucid patients.…”

mentioning

confidence: 96%