نوع مقاله : مقاله پژوهشی
نویسندگان
1 مرکز تحقیقات آسیبهای اسکلتی عضلانی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
2 گروه ارتوپدی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران
3 کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی مازندران، ساری، ایران
کلیدواژهها
موضوعات
عنوان مقاله English
نویسندگان English
Abstract
Introduction: Intertrochanteric femoral fractures are common and can be associated with significant complications and mortality. This study aimed to assess the mortality rate and related factors in patients undergoing surgical treatment for intertrochanteric fractures.
Materials & Methods: This retrospective descriptive-analytical study included patients with intertrochanteric hip fracture who underwent surgery between 2017 and 2018 in a teaching hospital .The demographic data were collected from patients’ records, with specific attention to age, osteoporosis, previous fracture history, cognitive disorders, hypertension, delay in surgery, and the type of fixation implant. Mortality status was assessed through follow-up phone calls. Data were analyzed using STATA software and logistic regression analysis.
Results & Discussion: 227 case within one year were studied. The overall mortality rate was 16.3%. In the deceased (p<0.05). Logistic regression revealed that advanced age, osteoporosis, previous fracture history, cognitive disorders, history of falling, surgical delay, and type of surgery were independent predictors of mortality (p<0.05).
Conclusion: Postoperative mortality following intertrochanteric fracture surgery is influenced by a range of clinical and modifiable factors. Timely selection of an appropriate surgical method and identification of high-risk patients can play a significant role in improving treatment outcomes.
کلیدواژهها English
