Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2013
Factors affecting mortality after hip fracture surgery: a retrospective analysis of 578 patients.
Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Is lateral decubitus positioning without a traction table a safe option for unstable intertrochanteric fractures? A meta-analysis of randomized controlled trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Trial
- Prognostic value of three inflammatory markers for mortality after hip fracture in the geriatric population.Scientific reports · 2025Article
- Postoperative Hypoalbuminemia as a Predictor of Early Mortality After Cementless Hemiarthroplasty for Hip Fractures.Medicina (Kaunas, Lithuania) · 2025Article
- Predictors for 1-year mortality in geriatric patients following fragile intertrochanteric fracture surgery.Journal of orthopaedic surgery and research · 2024Article
- Which factor is more associated with survival of patients with hip fracture over 90 years: Type of fracture or treatment modality?Northern clinics of Istanbul · 2024Article
- Article
- Evaluation of the Association between Low-Density Lipoprotein (LDL) and All-Cause Mortality in Geriatric Patients with Hip Fractures: A Prospective Cohort Study of 339 Patients.Journal of personalized medicine · 2023Article
- Whether Assisted Intramedullary Nail Implantation Without Traction Table is as Safe and Effective as Using Traction Table of Older Intertrochanteric Fracture Patients?Clinical interventions in aging · 2023Review
- Development and internal validation of a clinical prediction model using machine learning algorithms for 90 day and 2 year mortality in femoral neck fracture patients aged 65 years or above.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- A systematic review and meta-analysis of anesthesia type on hip fracture post-surgery outcomes.OTA international : the open access journal of orthopaedic trauma · 2022Article
- General versus regional anaesthesia for hip fracture surgery - impact on mortality and length of stay.Anaesthesiology intensive therapy · 2022Article
- Article
- Analysis of factors among 30-day and 1-year mortality rates in patients with borderline stable-unstable intertrochanteric hip fracture.Acta orthopaedica et traumatologica turcica · 2021Article
- Application of dexmedetomidine-assisted intravertebral anesthesia in hip replacement and its influence on T-lymphocyte subsets.Experimental and therapeutic medicine · 2020Article
- Analysis of risk factors for perioperative mortality in elderly patients with intertrochanteric fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- The best cited articles of the European Journal of Orthopaedic Surgery and Traumatology (EJOST): a bibliometric analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Risk factors for mortality in geriatric hip fractures: a compressional study of different surgical procedures in 785 consecutive patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2017Article
- Article
- Does integrity of the lesser trochanter influence the surgical outcome of intertrochanteric fracture in elderly patients?BMC musculoskeletal disorders · 2015Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine the effect of patient and surgical factors on mortality after hip fracture surgery.
designRetrospective study.
settingLevel-one trauma and tertiary referral centers.
methodsPatients were eligible if they were aged 65 years or older and had undergone surgery for a non-pathological femoral neck or intertrochanteric hip fracture between 2008 and 2011. The primary outcome was mortality: within the first year after surgery, after the first year, and survival as of the last questioning date. Of the 578 eligible patients, 399 (69%) were women; mean age was 79 years; and mean follow-up was 17 months.
resultsMortality during the first year was significantly more frequent in patients aged 80 years or older (67 vs. 33%; P < 0.001). Estimated overall survival was significantly longer in women (43 vs. 37%; P = 0.01). The type of fracture had no impact on mortality (P = 0.96). Patients with high ASA class had a significant effect on mortality (P < 0.001). Surgery timing did not affect mortality in univariate analysis (P = 0.25). The mortality rate for hemiarthroplasty was higher than osteosynthesis options (P = 0.03). The effect of the type of anesthesia on mortality was not significant (P = 0.74).
conclusionsOlder men had the highest risk of mortality within the first year. Patients with ASA ratings of class 3 or 4 need to be evaluated carefully because they appear to be at higher risk of early mortality. Osteosynthesis has a lower mortality than does arthroplasty for hip fracture and thus should be preferred if either treatment is possible. LEVEL OF EVIDENCE: IV.
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