ArticleActa chirurgiae orthopaedicae et traumatologiae Cechoslovaca2026
The Effect of Bone Minerals Density on Mortality of Elderly Patients Applying with a Proximal Fracture of the Femur.
Article in Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purpose of the studyThis study aimed to evaluate the risk of mortality in elderly hip fracture patients within one year after surgery, and to compare it with DXA values and to evaluate the predictive value of DXA values. MATERIAL AND
methodsThis is a prospective study including data from 160 elderly hip fracture patients treated in our hospital. The patient data included the following; DXA values of spine, neck, intertrochanteric, total and ward's T-scores, age, blood values (preoperative CRP (mg/dl), CRP/Albumin ratio, albumin (g/dl), sex, creatine value (mg/dL), American Society of Anesthesiologists (ASA) scores, and type of surgery.
resultsThe risk of mortality was 5.06 times higher in patients with neck DXA values ≤-2.2 cut-off value (DXA values of neck odds ratio (OR) = 5.06, 95%CI: 544-.723, P: 0.02). There was a statistically significant difference between the DXA values of spine, intertrochanteric, wards, creatine, and albumin values between the groups (respectively p=0.002, p=0.005, p=0.01, p=0.003, and p=0.01).
conclusionsBiomarkers to assess mortality one year postoperatively in elderly patients undergoing surgery for hip fracture are lacking. The mortality rate was found to be 5.06 times higher in patients with DXA values of neck ≤-2.2 cut-off. Severe osteoporosis is a disease with high mortality. The initiation of osteoporosis treatment should be started earlier.
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