Evidence map›Paper›PMID 33936949›Full record

ArticleJournal of clinical orthopaedics and trauma2021

Mortality profile after 2 years of hip fractures in elderly patients treated with early surgery.

Kishore Raichandani, Shubham Agarwal, Hemant Jain, Nandlal Bharwani

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical orthopaedics and trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07358299 (A Comparison of Haemodynamic Effects, as Assessed by Cardiac Output Monitoring, and Complications of Continuous Versus Single-Shot Spinal Anaesthesia for Hip-Fracture Surgery in Patients Over 50 Years of Age), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07358299 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Comparison of Haemodynamic Effects, as Assessed by Cardiac Output Monitoring, and Complications of Continuous Versus Single-Shot Spinal Anaesthesia for Hip-Fracture Surgery in Patients Over 50 Years of Age

TypeinterventionalSponsorCentre of Postgraduate Medical EducationRan2026 to 2029Enrolled216ConditionsAnesthesia, Spinal, Hip FracturesArmsBupivacaine Spinal 0,5% Heavy - bolus, Bupivacaine Spinal 0,5% Heavy - titration
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. High mortality rates after distal femur fractures in patients with end-stage renal disease.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  2. Article
  3. Frailty as a determinant of mortality, surgical timing and hospital stay in proximal femur fractures: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  4. Article
  5. Hip fracture surgery in resource-limited environments: a systematic literature review.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  6. Reversing Decline in Aging Muscles: Expected Trends, Impacts and Remedies.Journal of functional morphology and kinesiology · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Charlson comorbidity index predicts the 10-year survivorship of the operatively treated hip fracture patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  12. Development of Machine Learning Models for Prediction of Osteoporosis from Clinical Health Examination Data.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kishore RaichandaniDepartment of Orthopaedics, Dr SN Medical College, Jodhpur, India.
Shubham AgarwalDepartment of Orthopaedics, Dr SN Medical College, Jodhpur, India.
Hemant JainDepartment of Orthopaedics, Dr SN Medical College, Jodhpur, India.
Nandlal BharwaniDepartment of Orthopaedics, Dr SN Medical College, Jodhpur, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn geriatric age group, hip fractures tend to become a major public health hazard. Due to this high occurrence, there is a need to develop standardized, effective, and multidisciplinary management for treatment. These elderly patients have excessive mortality that can extend ahead of the time of recovery. Early surgery after hip fractures has lead to a notable reduction in mortality rates. Still, it is considerably high as compared to other fractures.

methods266 patients of >65 years who were operated within 72 h hours in a tertiary level health care centre for hip fractures were included. They were evaluated with X-rays and grade of Singh's index was noted. Mortality rates and the factors associated with it such as age, sex, co morbidities (using Charlson's co morbidity Index/CCI) were evaluated after 2 year follow up.

resultsThe overall 2-year mortality reported in our study population was 11.2%. It was broadly lower as compared to most of the other studies. It was 6.3% in females as compared to 18.1% in males. While it was reported to be only 6% in 65-74 years of age, it was 25% in patients who were 85 years and above. 76.6% of the patients had Singh's index of ≤ grade 3 showing osteoporosis. The patients with Low Charlson's score showed only 4.2% mortality while those with high Charlson's score showed 25.5% mortality.

conclusionIt was concluded that Mortality among elderly patients after early surgery after osteoporotic hip fractures is quite significant. The factors for improvement in long term survival post-hip fracture may include changing treatment patterns, increasing life expectancy and early surgery. Increase in age, female sex, and high CCI Scores were major risk factors of mortality after hip fractures in a 2-year follow-up period.

Indexed as

Co-morbiditiesEarly surgeryElderlyHip fractureMortality

Identifiers

PMID33936949
PMCPMC8079428

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.