Iranian Journal of Orthopedic Surgery

Comparison of Hip Fracture Surgery in Octogenarians with 50-80 Year-old patients: Treatment Patterns, Outcomes and Predictors of Perioperative Adverse Events

Document Type : Original Article

Authors

Emre Gultac 1
Ahmet Acan 2
Cem Kilinc 3
Ulas Akgun 4
Nevres Aydogan 4

1 Department of Orthopedics and Traumatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey

2 Department of Orthopedics and Traumatology, Faculty of Medicine, Balikesir University, Mugla, Turkey

3 Department of Orthopedics and Traumatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.

4 * Department of Orthopedics and Traumatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.

https://doi.org/10.22034/ijos.2021.279280.0
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 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.

Keywords

Hip fractures
octogenarians
Treatment Outcome
Intraoperative Complications
Elderly

Subjects

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