Hip
Abstract
Objective: The aim of this study was to evaluate the effect of various factors on the prognosis of elderly patients with hip fractures to make it easier for physicians and patients to choose the type of surgical or non-surgical treatment with more accurate prognosis.Methods and materials used: This epidemiological ...
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Objective: The aim of this study was to evaluate the effect of various factors on the prognosis of elderly patients with hip fractures to make it easier for physicians and patients to choose the type of surgical or non-surgical treatment with more accurate prognosis.Methods and materials used: This epidemiological study was performed on patients older than 65 years who presented with a diagnosis of hip fracture within one year. Independent variables including sex, age of the patient, concomitant diseases, time elapsed from fracture to surgery and type of anesthesia were evaluated for Bartel score, postoperative mortality and type of treatment.Results: The mean age of the study population (163 people) was 7.7 ± 78.7- with the age range of 65-97 which included 91 women (55.8%) and 72 men (44.2%). The highest number of our patients was in the age range of 76 to 85 years (48%). The number of deaths in patients who did not undergo surgery in the first month after the fracture was 3 (۱ 11.5) in femoral neck fractures and 3 (۵ 11.5) in intracentric fractures. In the next eleven months of follow-up, Mir had one patient (۸ 3.8) in femoral neck fractures and three patients (11.5 ٪) in intracentric fractures.Conclusion: In this study, the age of patients was an important determinant of mortality, so that mortality has increased with age, but the type of gender is not effective in increasing mortality.
Hip
Emre Gultac; Ahmet Acan; Cem Kilinc; Ulas Akgun; Nevres Aydogan
Abstract
Introduction: Hip fracture is a significant health problem with a high morbidity and mortality, especially in patients aged 80 years and more. In this study, we aimed to identify demographic characteristics and management of octogenarian patients with hip fracture and also aimed to determine the predictors ...
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Introduction: Hip fracture is a significant health problem with a high morbidity and mortality, especially in patients aged 80 years and more. In this study, we aimed to identify demographic characteristics and management of octogenarian patients with hip fracture and also aimed to determine the predictors of perioperative complications. Methods: Data for all patients aged 50 years old or more who were hospitalized for hip fracture between June 2015 and June 2020 were retrospectively analyzed. Data of patients aged 80 and older were compared with those younger than 80 from the same cohort. Results: A total of 601 patients (mean age 73.9 ± 9.4 years, 62.2% female) were included. Of the study population, 21 patients (3.5%) were treated conservatively, and 580 patients (%96.5) underwent surgery. Of the 580 patients who had surgery, 170 (29.3%) were aged 80 and older. Multivariate logistic regression analysis revealed that age, presence of atrial fibrillation and coronary artery disease were independent predictors of perioperative complications in octogenarians undergoing hip fracture surgery. Conclusions: Octogenarians represent nearly one-third of the patients with hip fracture in the real-world practice. Increased age, coronary artery disease and atrial fibrillation predict perioperative adverse events in patients undergoing hip fracture surgery.
