Proximal femoral fractures in centenarians. A retrospective analysis of 39 patients

Morice, Antoine H.P.; Reina, Nicolas; Gracia, Gauthier; Bonnevialle, P.; Laffosse, Jean-Michel; Wytrykowski, Karine; Cavaignac, Étienne; Bonnevialle, Nicolas

doi:10.1016/j.otsr.2016.09.025

Cited by 14 publications

(10 citation statements)

References 14 publications

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“… 10 Thirty-day mortality has been reported to be approximately 8–34% in older patients. 6–8 , 11 , 12 , 18 , 23 Our findings showed that female sex, time to surgery >48 hours, baseline ambulatory capacity and cognitive function, anaesthetic risk, type of anaesthesia and peripheral nerve block, and age group were related to 30-day mortality over the entire sample. However, only the ASA score was associated with 30-day mortality in centenarians.…”

Section: Discussionmentioning

confidence: 62%

“…This may be due to the higher baseline degree of cognitive impairment and dependency or the higher degree of in-hospital complications in this age group. 9 , 11 , 12 …”

Section: Discussionmentioning

confidence: 99%

“… 9 Discrepancies have also been published regarding short and long-term outcomes. 6–8 , 11 , 12 A recent study including more than 4000 centenarians with hip fracture focused exclusively on complications during hospitalization, but did not include outcomes related to mortality or functional status in the first month after the fracture. 10 …”

Section: Introductionmentioning

confidence: 99%

“…3,4 Studies on hip fractures in centenarians are limited in number of patients and show contradictory results. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] Differences have been described in relation to the type of fracture, [2][3][4][5][6][7][8] the relationship between time to surgery and outcomes 5 and the risk of complications during hospitalisation. 9 Discrepancies have also been published regarding short and long-term outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Demographic Characteristics of Centenarians versus Other Age Groups Over 75 Years with Hip Fractures

Boixareu¹,

Ojeda-Thies²,

Valtueña³

et al. 2023

CIA

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Objective The primary objective was to describe the clinical characteristics, management, and outcomes of centenarians with fragility hip fracture and compare them to other age groups. The secondary objective was to determine the variables associated with length of stay, in-hospital mortality and 30-day mortality. Materials and Methods This is a secondary analysis of the Spanish National Hip Fracture Registry. We included patients ≥75 years admitted for fragility hip fractures in 86 Spanish hospitals between 2017 and 2019, dividing the sample into four age groups. The variables studied were baseline characteristics, type of fracture, management, length of stay, in-hospital mortality and 30-day mortality. Results We included 25,938 patients (2888 were 75–79 years old; 14,762 octogenarians; 8,035 nonagenarians and 253 centenarians). Of the centenarians, 83% were women, 33% had severe dementia, 9% had severe dependency and 36% lived in residential care homes. Six out of ten had intertrochanteric fracture. Length of hospital stay was 8.6 days; in-hospital mortality was 10.3% and 30-day mortality 20.9%. Older age groups had more women, severe functional dependency, severe dementia, intertrochanteric fracture, living in care facilities and being discharged to nursing care. They had less frequent early mobilization, osteoporosis treatment and discharge to rehabilitation units. In-hospital and 30-day mortality were higher with increasing age. In centenarians, time to surgery >48 hours was independently associated with length of stay (correlation coefficient 3.99 [95% CI: 2.35–5.64; p<0.001]) and anaesthetic risk, based on an ASA score of V, was related to 30-day mortality (ASA score II [OR 0.25, 95% CI: 0.09–0.70; p=0.009] and ASA score III [OR 0.43, 95% CI: 0.19–0.96; p=0.039]). Conclusion Centenarians had different clinical characteristics, management and outcomes. Although centenarians had worse outcomes, nearly 4 out of 5 centenarians were alive one month after surgery.

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Section: Discussionmentioning

confidence: 62%

“…This may be due to the higher baseline degree of cognitive impairment and dependency or the higher degree of in-hospital complications in this age group. 9 , 11 , 12 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical and Demographic Characteristics of Centenarians versus Other Age Groups Over 75 Years with Hip Fractures

Boixareu¹,

Ojeda-Thies²,

Valtueña³

et al. 2023

CIA

View full text Add to dashboard Cite

show abstract

“…One retrospective analysis of trauma in centenarians described a higher incidence of inpatient (19%) and 30-day mortality (33%) than our study [8] . Another case series of 12 centenarians undergoing surgery for proximal femur fracture reported a higher 1-year mortality rate (88%) [23] . These differences may have been attributable to their selection of trauma cases—invariably of higher acuity than our lower procedural risk cases—and the inclusion of centenarian trauma patients that were deemed not fit for surgery.…”

Section: Discussionmentioning

confidence: 99%

Characteristics, comorbidity burden and outcomes in centenarians undergoing surgery in a university hospital: A case series

MacDowall

Tully

Guha

et al. 2021

International Journal of Surgery Case Reports

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Surgical treatment of proximal femoral fractures in centenarians: prevalence and outcomes based on a German multicenter study

Langenhan

Müller

Füchtmeier

et al. 2022

Eur J Trauma Emerg Surg

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Proximal femoral fractures in centenarians. A retrospective analysis of 39 patients

Abstract: IV, retrospective study.

Cited by 14 publications

References 14 publications

Clinical and Demographic Characteristics of Centenarians versus Other Age Groups Over 75 Years with Hip Fractures

Clinical and Demographic Characteristics of Centenarians versus Other Age Groups Over 75 Years with Hip Fractures

Characteristics, comorbidity burden and outcomes in centenarians undergoing surgery in a university hospital: A case series

Surgical treatment of proximal femoral fractures in centenarians: prevalence and outcomes based on a German multicenter study

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