ArticleActa orthopaedica et traumatologica turcica2020
Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture.
Article in Acta orthopaedica et traumatologica turcica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 33 citations in OpenAlex.
- A Fragile Balance: Survival Analysis Following Bipolar Hemiarthroplasty in the Elderly.Indian journal of orthopaedics · 2025Article
- Outcomes of Staphylococcal Prosthetic Joint Infection After Hip Hemiarthroplasty: Single Center Retrospective Study.Medicina (Kaunas, Lithuania) · 2025Article
- Managing Mortality: Key Factors Influencing Hemiarthroplasty Outcomes in Geriatric Patients with Proximal Femur Fractures.Medicina (Kaunas, Lithuania) · 2025Article
- Use of Local Anesthesia Combined with Monitored Anesthesia Care in Cephalomedullary Nailing for Proximal Femoral Fractures: A Minimally Invasive Approach for High-Risk Surgical Candidates.Medical journal of the Islamic Republic of Iran · 2025Article
- Factors that influence the mortality of patients following hip hemiarthroplasty.Arthroplasty (London, England) · 2024Article
- Unplanned emergency department visits within 90 days of hip hemiarthroplasty for osteoporotic femoral neck fractures: Reasons, risks, and mortalities.Osteoporosis and sarcopenia · 2024Article
- Association between inflammation-based prognostic markers and mortality after hip replacement.Scientific reports · 2024Article
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- Optimising Soft-Tissue Balancing in Hip Hemiarthroplasty Surgery Using a Simple Planning Protocol.Cureus · 2023Article
- Social determinants of health in patients undergoing hemiarthroplasty: are they associated with medical complications, healthcare utilization, and payments for care?Archives of orthopaedic and trauma surgery · 2023Article
- Total intravenous anesthesia for geriatric hip fracture with severe systemic disease.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
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- Risk factors of serious postoperative outcomes in patients aged ≥90 years undergoing surgical intervention.Heliyon · 2023Article
- Are the Clinical Results of Locking Plate Fixation for Distal Radius Fractures Inferior in Patients over 80 Years of Age? A Multicentre (TRON Group) Study.Indian journal of orthopaedics · 2023Article
- Article
- Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study.Acta orthopaedica et traumatologica turcica · 2021Article
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3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to analyze the relationship between mortality and possible risk factors in elderly patients surgically treated with hemiarthroplasty for hip fracture and to determine mortality rates and yearly survival outcome in a selected cohort.
methodsA total of 92 patients (51 men (55.4%) and 41 women (44.6%); mean age: 76.47 years) who underwent hemiarthroplasty for hip fracture were included into the study. The following data associated with risk factors were recorded for 92 patients: age, gender, pre-fracture activities of daily living (ADL), type of fracture, American Society of Anesthesiologists (ASA) score, therapeutic procedure, type of anesthesia, length of time after fracture until operation, postoperative mobility, and duration of hospitalization. A multivariate logistic regression test was used to evaluate the correlation between the risk factors and first- and second-year mortality rates. Third-year mortality rate after surgery was analyzed and compared with the general mortality rate in a similar population of the same age group living in the same city.
resultsThe mortality rate was 18.5% (17 patients) after the first-year follow-up and 25% (23 patients) after the second year. The mortality risk after hip fracture was found to be 11.7 times greater than the similar age group population in the third year. In addition, there was a significant relationship between a low (dependent) preoperative ADL score, advanced age (>80 years), male gender, high ASA score and poor ability to walk (unable to walk), and first- and second-year mortalities (p<0.05). However, no significant relationship was found between fracture type, fracture side, anesthesia type, time from fracture to surgery, or duration of hospitalization and mortality (p>0.05).
conclusionAdvanced age, male gender, a high ASA score, a dependent preoperative ADL score, and a postoperative inability to walk were determined to be the most important risk factors affecting mortality in elderly patients with hip fracture. The mortality risk was 11.7 times greater than that of a population with similar characteristics. LEVEL OF EVIDENCE: Level IV, Therapeutic study.
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