Evidence map›Paper›PMID 40496038›Full record

ArticleJournal of clinical orthopaedics and trauma2025

Mortality among elderly hip fracture patients following surgical intervention- an institutional review of a tertiary care centre of North India.

Kumar Keshav, Siddhartha Singh, Pulak Sharma, Anurag Baghel, Amit Kumar, Prabhaker Mishra

Abstract read
In one paragraph

Article in Journal of clinical orthopaedics and trauma, 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

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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. 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

6 authors.

Kumar KeshavDepartment of Orthopaedics, Apex Trauma Centre, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Vrindavan Yojna, Raebareli Road, Lucknow, U.P., PIN-226029, India.
Siddhartha SinghDepartment of Orthopaedics, Apex Trauma Centre, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Vrindavan Yojna, Raebareli Road, Lucknow, U.P., PIN-226029, India.
Pulak SharmaDepartment of Orthopaedics, Apex Trauma Centre, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Vrindavan Yojna, Raebareli Road, Lucknow, U.P., PIN-226029, India.
Anurag BaghelDepartment of Orthopaedics, Apex Trauma Centre, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Vrindavan Yojna, Raebareli Road, Lucknow, U.P., PIN-226029, India.
Amit KumarDepartment of Orthopaedics, Apex Trauma Centre, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Vrindavan Yojna, Raebareli Road, Lucknow, U.P., PIN-226029, India.
Prabhaker MishraDepartment of Biostatistics & Health Informatics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli Road, Lucknow, U.P., PIN-226014, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We conducted a retrospective study of prospectively collected data to find the thirty-day and one-year mortality rate among geriatric patients with surgically operated hip fractures, and to evaluate the possible association with various non-modifiable and modifiable factors amongst deceased and survivors. Methods: All elderly patients (above 60 years) with hip fractures (trochanteric or/and femoral neck) admitted and operated between July 2018 to February 2024 and having a minimum follow-up of 4.5 months (18 weeks) if alive, were included. Patients that were managed non-operatively, age <60 years, having associated lower limb injuries or polytrauma, those not falling within the time duration mentioned above and previously operated cases of hip fractures were excluded from the study. Telephonic enquiries were done to patients or their relatives to know whether the patients were alive or had expired. The data, so collected, was used to find the mortality rate. Relevant statistical analyses were applied to look for any association between the mortality and various data-demographic, injury-related, comorbidities and hematological. Results: A total of 168 patients were included based on inclusion-exclusion criteria. Out of these, there were 136 patients having a follow-up of one year or more. 30-day mortality in our series was 4.76 % (8 out of 168) and 1-year mortality was 19.85 % (27 out of 136). Presence of "any comorbidity" and "the total number of comorbidities" at admission had a significant association with deceased individuals in comparison to non-deceased ones (p-value<0.001 in both). There was also a statistically significant negative association of the survival time (number of days) with the number of comorbidities. Conclusion: Mortality rate following hip fractures in geriatric patients remains as high as one-fifth at one year. Comorbidities have a significant effect on one-year mortality and the postoperative survival duration is negatively associated with number of comorbidities.

Indexed as

AgedCause of deathComorbidityHip fracturesMortality

Identifiers

PMID40496038
PMCPMC12146012

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