ArticleBMC geriatrics2024
One-year mortality risk in older individuals with femoral intertrochanteric fracture: a tertiary center in China.
Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Article
- Determinants of mortality following intertrochanteric fractures, comorbidities versus reduction quality: retrospective cohort study.Journal of orthopaedic surgery and research · 2026Article
- Concordance of surgical treatment with AO/OTA subclassification in intertrochanteric femoral fractures.Journal of orthopaedic surgery and research · 2026Article
- Effect of Lesser Trochanter Fixation on Functional Outcomes Following Hemiarthroplasty for Unstable Intertrochanteric Fractures in Elderly Patients: A Retrospective Cohort Study.Clinical interventions in aging · 2026Article
- The Critical Role of Follow-Up in Fracture Liaison Services for Geriatric Hip Fracture Patients: A Retrospective Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Trends, patterns, and outcomes of hip fractures over 14 years: insights from a tertiary trauma center in Beijing, China (2009-2022).Archives of osteoporosis · 2025Article
- Prognostic value of three inflammatory markers for mortality after hip fracture in the geriatric population.Scientific reports · 2025Article
- Article
- Impact of femoral head size on the localization of proximal femur fractures: Retrospective analysis of 400 cases.Journal of clinical orthopaedics and trauma · 2025Article
- Comparing mortality in the elderly after proximal femur fractures and coxarthrosis: the effect of individual health characteristics and day of surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Analysis of factors affecting the surgical efficacy for elderly intertrochanteric fracture.Frontiers in surgery · 2025Article
- Comprehensive assessment of risk factors and development of novel predictive tools for perioperative hidden blood loss in intertrochanteric femoral fractures: a multivariate retrospective analysis.European journal of medical research · 2024Article
- Correlation between Charlson comorbidity index and surgical prognosis in elderly patients with femoral neck fractures: a retrospective study.BMC musculoskeletal disorders · 2024Article
- Article
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11 authors.
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Abstract
backgroundThe accelerated growth of older individuals worldwide has increased the number of patients presenting with fragility hip fractures. Having a hip fracture can cause excess mortality, and patients with hip fracture have a higher risk of death than those without hip fracture. Most studies have treated hip fracture as a single, homogeneous condition, but hip fracture includes two major anatomic types: intertrochanteric fracture and femoral neck fracture. Few studies have specifically evaluated 1-year mortality risk in older individuals with femoral intertrochanteric fracture. The aim of this study was to evaluate 1-year mortality and factors associated with mortality in older individuals with femoral intertrochanteric fracture.
methodsA retrospective review was conducted of 563 patients ≥ 65 years old who underwent surgery for femoral intertrochanteric fractures at our institution between January 2010 and August 2018. Patient demographics, comorbidities, and treatment were collected by retrospective chart review. Age, sex, Body Mass Index (BMI), American Society of Anesthesiologists (ASA) classification, Charlson comorbidity index (CCI), Arbeitsgemeinschaft Für Osteosynthesefragen (AO) fracture classification, haemoglobin value at admission, time to surgery, operation time, and intraoperative blood loss were risk factors to be tested. Multivariable logistic regression was used to evaluate associations between variables and death.
resultsAmong the 563 patients, 49 died within 1 year after surgery, and the 1-year mortality rate was 8.7%. Multivariate analysis identified age > 80 years (OR = 4.038, P = 0.011), haemoglobin < 100 g/l (OR = 2.732, P = 0.002), ASA score ≥ 3 (OR = 2.551, P = 0.005), CCI ≥ 3 (OR = 18.412, P = 0.018) and time to surgery > 14 d (OR = 3.907, P = 0.030) as independent risk factors for 1-year mortality. Comorbidities such as myocardial infarction and chronic pulmonary disease were associated with 1-year mortality after adjusting for age > 80 years and time to surgery > 14 days.
conclusionsPatients over 80 years old with haemoglobin < 100 g/l, ASA score ≥ 3, CCI ≥ 3, and multiple comorbidities, especially myocardial infarction and chronic pulmonary disease before surgery, are at a higher risk of 1-year mortality. Doctors should pay more attention to these vulnerable patients, and a surgical delay greater than 14 days should be avoided.
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