ArticleBMC musculoskeletal disorders2017
Mortality, readmission, and reoperation after hip fracture in nonagenarians.
Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.
- Pooled it
- The Efficacy of Teriparatide in Improving Fracture Healing in Hip Fractures: A Systematic Review and Meta-Analysis.BioMed research international · 2020Pooled it
- Outcomes of nonagenarians undergoing hip fracture surgery: a multicentre observational study across Asia-Oceana.BMC geriatrics · 2026Observational
- Predictors of long- term survival after pelvic ring fractures in geriatric patients - five-year results of a prospective observational study of 134 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Modifying the reduction quality criteria of the Baumgaertner classification may increase its performance in predicting mechanical failure after intertrochanteric nailing.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Long-term survival and probability of death due to fragility hip fracture in patients over 65 years of age: a retrospective cohort study.Archives of osteoporosis · 2025Article
- Hip fractures: femoral neck versus trochanteric fractures, baseline characteristics and clinical outcomes.Bone & joint open · 2025Article
- Nationwide database study of postoperative sequelae and in-hospital mortality in super-elderly hip fracture patients.Journal of bone and mineral metabolism · 2025Article
- Comparison of Hemiarthroplasty, total hip arthroplasty, and internal fixation for hip fractures in patients over eighty years of age: factors affecting mortality: a nationwide cohort study of fifty three thousand, four hundred and ninety five patients from Türkiye.International orthopaedics · 2025Article
- Exploring the Learning Needs for Discharge Planning Among Postoperative Orthopedic Patients: A Scoping Review.Patient preference and adherence · 2025Review
- Orthogeriatric Co-Management Improves Early Outcomes in Hip Fractures: A Post-Hoc Analysis of a Prospective Study.Clinical interventions in aging · 2025Article
- Immediate weight bearing as tolerated versus delayed weight bearing following intramedullary fixation for geriatric intertrochanteric fractures: a post hoc analysis.BMC musculoskeletal disorders · 2024Article
- Trends in Hospital Stay, Complication Rate, and Mortality in Hip Fracture Patients: A Two-Decade Comparison at a National Tertiary Referral Center.Journal of clinical medicine · 2024Article
- The value of preoperative diagnostic testing and geriatric assessment in frail institutionalized elderly with a hip fracture; a secondary analysis of the FRAIL-HIP study.European geriatric medicine · 2024Article
- Benchmarking institutional geriatric hip fracture management: a prelude to a care quality improvement initiative.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Article
- Outcomes in very elderly ICU patients surgically treated for proximal femur fractures.Scientific reports · 2024Article
- Orthogeriatric co-managements lower early mortality in long-lived elderly hip fracture: a post-hoc analysis of a prospective study.BMC geriatrics · 2023Article
- Development and validation of a deep learning model using convolutional neural networks to identify femoral internal fixation device in radiographs.Skeletal radiology · 2023Article
- Outcomes of ultra-old vs old patients after hip fracture surgery: a matched cohort analysis of 1524 patients.Archives of orthopaedic and trauma surgery · 2023Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoporotic hip fractures are associated with high mortality and morbidity in people of advanced age; however, few studies have investigated the complication rates in nonagenarians. In this study, we applied a competing risk analysis to estimate the mortality, readmission, and reoperation rates after surgery for hip fracture among nonagenarians.
methodsA total of 11,184 nonagenarians (aged ≥ 90) who received surgery for hip fracture during the period 1 January 1997 and 31 December 2010 were selected from Taiwan's National Health Insurance (NHI) database. Nonagenarians were followed up until the end of 2012, death, or the date they left the NHI program. Cumulative mortality was estimated using the Kaplan-Meier analysis and risk factors for mortality were investigated using a Cox proportional hazards model. Competing risk analysis was used to estimate cumulative incidence rates and to assess the risk factors for reoperation and readmission.
resultsThe mortality rates were 29.5% at 1 year, 45.0% at 2 years and 78.1% at 5 years. The cumulative incidence rates of reoperation were 7.3% at 1 year, 9.2% at 2 years and 11.6% at 5 years whereas those of readmission were 18.9% at 1 month and 24.1% at 3 months. Significant risk factors for death included age, male gender, trochanteric fracture, and higher Charlson comorbidity index (CCI) whereas those for reoperation were age, cervical fracture and higher CCI. Furthermore, age, male gender, and higher CCI were risk factors for readmission.
conclusionsThe overall 2-years mortality rate among nonagenarians in Taiwan was around 45%, the 2-years reoperation rate was around 9% and the 90-days medical complication rate was around 24%. High complication rates are associated with increased risk for death. Postoperative care to prevent medical complications is likely the most effective strategy to reduce mortality rates among nonagenarians with hip fracture.
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