ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2017
Risk factors for mortality in geriatric hip fractures: a compressional study of different surgical procedures in 785 consecutive patients.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Predictors of poor functional outcomes and mortality in patients with hip fracture: a systematic review.BMC musculoskeletal disorders · 2019Pooled it
- Pooled it
- Gender Influences Patient Characteristics, Fracture Pattern, Achievement of Clinical Care Targets and Postoperative Mortality Risk Following a Hip Fracture: A Retrospective Cohort Study.Musculoskeletal care · 2026Article
- Comparative mid-term outcomes of hemiarthroplasty and internal fixation in treating senile femoral intertrochanteric fractures: a retrospective cohort study.Frontiers in medicine · 2026Article
- In-Hospital Mortality Among 40,253 Older Adults with Hip Fracture: Survival Outcomes and Multivariate Analysis in a Chilean Cohort.Journal of clinical medicine · 2025Article
- Clinical utility of the modified frailty index for predicting postoperative complications in elderly patients with intertrochanteric femoral fractures.American journal of translational research · 2025Article
- Comparison of Bone Mineral Density Between Veterans and Non-Veterans and Its Impact on Fracture Risk Assessment.Medicina (Kaunas, Lithuania) · 2024Article
- Respiratory Complications Are the Main Predictors of 1-Year Mortality in Patients with Hip Fractures: The Results from the Alzira Retrospective Cohort Study.Geriatrics (Basel, Switzerland) · 2024Article
- The Nomogram Model and Factors for the Postoperative Mortality of Elderly Patients with Femoral Neck Fracture Undergoing Artificial Hip Arthroplasty: A Single-Institution 6-Year Experience.Orthopaedic surgery · 2024Article
- Consequences of anemia in geriatric hip fractures: how low is too low?Trauma surgery & acute care open · 2024Article
- Article
- The Effect of Hematocrit on All-Cause Mortality in Geriatric Patients with Hip Fractures: A Prospective Cohort Study.Journal of clinical medicine · 2023Article
- Intertrochanteric Fracture Surgery Patients with Diabetes Mellitus are Prone to Suffer Perioperative Neurological and Endocrine/Metabolic Complications: A Propensity-Score Matched Analysis.Therapeutics and clinical risk management · 2022Article
- Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study.Acta orthopaedica et traumatologica turcica · 2021Article
- Comparison of the Dynamic Hip Screw with the Dynamic Hip External Fixator for Intertrochanteric Fractures: Report of a Randomized Controlled Trial.The archives of bone and joint surgery · 2021Article
- Mortality incidence and its determinants after fragility hip fractures: a prospective cohort study from an Egyptian level one trauma center.African health sciences · 2021Article
- Reducing unnecessary crossmatching for hip fracture patients by accounting for preoperative hemoglobin concentration.World journal of orthopedics · 2021Article
- Functional treatment strategy for fragility fractures of the pelvis in geriatric patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Red Blood Cell Transfusion and Postoperative Delirium in Hip Fracture Surgery Patients: A Retrospective Observational Cohort Study.Anesthesiology research and practice · 2021Article
- 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
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOnly a little is known about whether type of surgical intervention has an effect on mortality of these patients. Our primary objective was to assess whether different type of surgical procedures has an effect on mortality among elderly patients with hip fracture. A secondary objective was to examine factors that are related to mortality in our patient population. Our hypothesis is that type of surgical procedure, especially external fixation, should have an influence on mortality outcomes.
methodsWe included 785 patients age 65 years or older, with hip fractures. Operative treatment consisted of external fixation, internal fixation, total hip arthroplasty and hip hemiarthroplasty. Age, gender, type of fracture, type of surgery performed, American Society of Anesthesiology (ASA) grade, clinical comorbidities, anesthesia type, blood transfusion requirement, time to surgery, intensive care unit requirement, operation length and length of hospital stay and number of comorbidities were documented.
resultsDuring the study period, 785 patients (262 male, 523 female) were included to study, Overall mortality rate was 37.2 % (292/785). Their age ranged between 65 and 100 years (mean 81). Surgery type Kaplan-Meier cumulative mortality curves suggested no significant difference between four different types of surgery groups (p = 0.064). Transfusion requirement was significantly lower in external fixation group comparing to other groups (p = 0.014). Cox regression analysis showed the number of comorbidities 2 and ≥ 3 (p = 0.0027, p = 0.015), transfusion requirement (p = 0.0001), ASA 4 (p = 0.016) to be significant predictors of mortality.
conclusionsTransfusion requirement, ASA grade 4 and having more than two comorbidities are risk factors for mortality in geriatric hip fractures. Type of surgical intervention and fracture type had similar mortality rates in our patient population.
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