Surgical intervention may provides better outcomes for hip fracture in nonagenarian patients: A retrospective observational study

Wang, Suo-Hsien; Chang, Chia-Wei; Chai, Shion-Wei; Huang, Ting-Shuo; Soong, Rueyshyang; Lau, Ngi-Chiong; Chien, Chih-Ying

doi:10.1016/j.heliyon.2024.e25151

Heliyon

2024

DOI: 10.1016/j.heliyon.2024.e25151

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Surgical intervention may provides better outcomes for hip fracture in nonagenarian patients: A retrospective observational study

Suo-Hsien Wang,

Chia-Wei Chang,

Shion-Wei Chai

et al.

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2024

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Cited by 2 publications

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Nationwide database study of postoperative sequelae and in-hospital mortality in super-elderly hip fracture patients

Mori,

Tarasawa,

Tanaka

et al. 2024

J Bone Miner Metab

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Introduction The risk of postoperative sequelae and in-hospital mortality in Japanese patients aged 90 years and older with hip fractures is unexplored. This study aims to use a comprehensive medical claims database in Japan to compare super-elderly patients aged 90 years and older with elderly aged 65–89 and clarify the risk of sequelae and in-hospital mortality in super-elderly patients. Materials and methods We retrospectively analyzed the Diagnosis Procedure Combination (DPC) database for all of Japan from April 2016 to March 2022. Medical records from approximately 1100 DPC-related hospitals were provided with consistent consent during this period. In this study, we focused on super-elderly patients and examined the association with the risk of postoperative pneumonia, pulmonary embolism, myocardial infarction, urinary tract infection, acute renal dysfunction, subsequent cognitive dysfunction, and in-hospital mortality after one-to-one propensity score matching. Results After performing propensity score matching based on sex and comorbidities, 129,953 pairs of patients were identified. These pairs were compared to elderly and super-elderly patients. The results of this study showed that compared with hip fractures in the elderly, hip fractures in the super-elderly were associated with an increased risk of pneumonia, urinary tract infection, acute renal dysfunction, subsequent cognitive dysfunction, and in-hospital mortality after adjustment for confounders. The odds ratio of in-hospital mortality was 2.190 (95% CI 2.062–2.325). Conclusion As it has been shown that super-elderly patients with hip fractures are at greater risk of respiratory and urinary tract infections and increased in-hospital mortality, careful attention should be required for perioperative management.

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Nationwide database study of postoperative sequelae and in-hospital mortality in super-elderly hip fracture patients

Mori,

Tarasawa,

Tanaka

et al. 2024

J Bone Miner Metab

View full text Add to dashboard Cite

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Correlation between Charlson comorbidity index and surgical prognosis in elderly patients with femoral neck fractures: a retrospective study

Wang,

Guo

2024

BMC Musculoskelet Disord

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Surgical intervention may provides better outcomes for hip fracture in nonagenarian patients: A retrospective observational study

Cited by 2 publications

References 39 publications

Nationwide database study of postoperative sequelae and in-hospital mortality in super-elderly hip fracture patients

Nationwide database study of postoperative sequelae and in-hospital mortality in super-elderly hip fracture patients

Correlation between Charlson comorbidity index and surgical prognosis in elderly patients with femoral neck fractures: a retrospective study

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