Evidence map›Paper›PMID 40241076›Full record

ArticleBMC musculoskeletal disorders2025

Risk factors associated with mortality in elderly patients receiving hemiarthroplasty for femoral neck fractures.

Zhi Zeng, Hao Li, Chong Luo, Mu-Dan Huang, Hai-Peng Li, Xiang Peng, De-En Wan, Jiang-Jun Zhou, Ming Chen, Feng Shuang

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

10 authors.

Zhi Zeng *Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, Jiangxi Province, 330002, China.
Hao Li *Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, Jiangxi Province, 330002, China.
Chong Luo *Department of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, Jiangxi Province, 330002, China.
Mu-Dan HuangDepartment of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, Jiangxi Province, 330002, China.
Hai-Peng LiDepartment of Orthopedics, The Fourth Medical Center of Chinese People's Liberation Army General Hospital, Beijing, 330006, China.
Xiang PengDepartment of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, Jiangxi Province, 330002, China.
De-En WanDepartment of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, Jiangxi Province, 330002, China.
Jiang-Jun ZhouDepartment of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, Jiangxi Province, 330002, China.
Ming ChenDepartment of Orthopedics, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Nanchang, Jiangxi Province, 330006, China. ndyfy01837@ncu.edu.cn.
Feng ShuangDepartment of Orthopedics, The 908th Hospital of Chinese People's Liberation Army Joint Logistics Support Force, No.1028 Jinggangshan Street, Qingyunpu District, Nanchang, Jiangxi Province, 330002, China. shuangfeng_2000@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the risk factors for mortality in elderly patients who underwent hemiarthroplasty for femoral neck fractures over a five-year follow-up period.

methodsA retrospective analysis of clinical data from 80 elderly patients treated with hemiarthroplasty between January 2015 and December 2018. Kaplan-Meier survival analysis was conducted, and both univariate and multivariate logistic regression analyses identified independent mortality risk factors, including age, preoperative mobility, BMI, cardiovascular comorbidities, and fracture type.

resultsOf the 80 patients, 38 (47.5%) died within the follow-up period. Kaplan-Meier analysis showed significantly reduced survival in patients with cardiovascular comorbidities, unstable fractures (Garden III and IV), and limited pre-fracture mobility (p < 0.05). Univariate analysis identified age, pre-fracture mobility, BMI, cardiovascular comorbidities, and fracture type as significant factors associated with mortality (p < 0.05). Multivariate analysis confirmed age, pre-fracture mobility, cardiovascular comorbidities, and unstable fractures as independent mortality predictors (p < 0.05).

conclusionsAdvanced age, limited mobility before fracture, cardiovascular comorbidities, and unstable fractures significantly increase mortality risk in elderly patients undergoing hemiarthroplasty. Tailored fracture management and optimized cardiovascular care could improve survival.

Indexed as

Femoral Neck FracturesHemiarthroplastyAgedAged, 80 and overAge FactorsComorbidityFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMaleRetrospective StudiesRisk FactorsElderly patientsHemiarthroplastyRetrospective analysisRisk factors

Identifiers

PMID40241076
PMCPMC12001584

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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.