Abstract #810900: One-Year Mortality Rate After Osteoporotic Hip Fracture in Bucharest Romania

In the population older than 60 years, fracturing of a hip is one of the main reasons for being admitted to a hospital. In 2006, the National Center for Health Statistics reported 330,000 hospital admissions for hip fracture: 293,000 (89%) occurred in patients over the age of 65; 238,000 (72%) affected women. Many of the patients operated on for a hip fracture can never return home; ultimately 19% will require long-term institutional care for the fracture, changing their life from an independent to a dependent one. Hip fracture patients also have a high mortality rate, 24% during the first postoperative year, with the expected one-year mortality rate two to three times lower in a normal population corrected for the same ages. Malnutrition is common in hip fracture patients, who appear to have a lower intake of energy, protein, calcium and vitamin D than non-fracture controls, but the effectiveness of nutritional support programs in routine clinical practice is controversial. DOI: http://dx.doi.org/10.3126/ijls.v8i4.10894

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MORTALITY AND FUNCTION AFTER SURGICALLY-TREATED HIP FRACTURE IN ADULTS YOUNGER THAN AGE 60

Acta Ortopédica Brasileira ◽

10.1590/1413-785220172504158145 ◽

2017 ◽

Vol 25 (4) ◽

pp. 129-131 ◽

Cited By ~ 1

Author(s):

Babak Pourabbas ◽

Mohammad Jafar Emami ◽

Amir Reza Vosoughi ◽

Hamideh Mahdaviazad ◽

Zeinab Kargarshouroki

Keyword(s):

Young Adults ◽

Hip Fracture ◽

Mortality Rate ◽

Hip Fractures ◽

Functional Outcomes ◽

Pain Severity ◽

Walking Aids ◽

One Year ◽

The One

ABSTRACT Objective: Hip fractures in young adults can cause poor functional capacity throughout life because of several complications. The purpose of this study was to prospectively evaluate 1-year mortality and functional outcomes for patients aged 60 years or younger with hip fracture . Methods: We prospectively obtained data for all consecutive patients aged 60 or younger with any type of hip fracture who were treated operatively between 2008 and 2014. After one year, patient outcomes were evaluated according to changes in pain severity, functional status (modified Barthel index), and mortality rate . Results: Of the total of 201 patients, 132 (65.7%) were men (mean age: 41.8 years) and 69 (34.3%) were women (mean age: 50.2 years) (p<0.001). Reduced pain severity was reported in 91.5% of the patients. The mean modified Barthel index was 22.3 in men and 18.6 in women (p<0.001). At the one-year follow-up, 39 cases (19.4%) were dependent on walking aids while only 17 patients (8.5%) used walking aids preoperatively (p<0.001). Seven patients (4 men and 3 women) died during the one-year follow-up period; 2 died in the hospital after surgery . Conclusion: Hip fractures in young adults have a low mortality rate, reduction in pain severity, and acceptable functional outcomes one year after surgery. Level of Evidence II, Prospective Comparative Study.

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The use of Barthel index for the assessment of the functional recovery after osteoporotic hip fracture: One year follow-up

PLoS ONE ◽

10.1371/journal.pone.0212000 ◽

2019 ◽

Vol 14 (2) ◽

pp. e0212000 ◽

Cited By ~ 8

Author(s):

Ana P. Mayoral ◽

Elena Ibarz ◽

Luis Gracia ◽

Jesús Mateo ◽

Antonio Herrera

Keyword(s):

Hip Fracture ◽

Functional Recovery ◽

Barthel Index ◽

Osteoporotic Hip Fracture ◽

One Year

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Effect of Nonsurgical Versus Surgical Management on Geriatric Hip Fracture Mortality of Hispanic-American Male Veterans

Geriatric Orthopaedic Surgery & Rehabilitation ◽

10.1177/21514593211044621 ◽

2021 ◽

Vol 12 ◽

pp. 215145932110446

Author(s):

Lucas G. De Virgilio-Salgado ◽

Gerardo Olivella ◽

Henry Ruberté ◽

Ricardo J. Abreu ◽

Antonio Otero-López ◽

...

Keyword(s):

Hip Fracture ◽

Mortality Rate ◽

Life Expectancy ◽

Surgical Management ◽

Veterans Health ◽

Hispanic American ◽

Average Life Expectancy ◽

Male Veterans ◽

One Year ◽

Hip Fracture Mortality

Introduction The effect of surgical vs nonsurgical management on hip fracture mortality of Hispanic-American male veterans has not been rigorously studied. Hence, we examined the mortality and life expectancy effect of nonsurgical vs surgical management after hip fracture in a geriatric Hispanic-American male veterans’ population. Material and Methods This was a retrospective cohort study of Hispanic-American male veterans who were 65 years of age or older and suffered a femoral neck or intertrochanteric fracture from January 2008 to December 2015. Analysis between a surgical cohort (cannulated screw fixation, hemiarthroplasty, total hip arthroplasty, or cephalomedullary nail) and a non-surgical cohort was performed. In-hospital, 30-day, one-year, and two-year mortality were compared between both groups. Results Out of 268 patients with hip fracture, 159 (59.2%) were treated surgically and 109 (40.8%) non-surgically. The overall in-hospital (9.2% vs 1.9%, P = .009), 30-day (17.4% vs 5.0%, P = .002), one-year (48.6% vs 23.3%, P < .001), and two-year (63.3% vs 36.5%, P < .001) mortality rate was found to be higher for the nonoperative group. The average life expectancy of the nonoperative cohort was significantly shorter than those who were managed surgically (216 days vs 260 days, P < .001). Discussion and Conclusion This study shows a higher mortality rate and lower life expectancy in geriatric male patients who were treated nonsurgically in a Veterans Health Affair hospital facility that mostly serves Hispanic-American veterans. Our results provide an expansion to the findings of other geriatric studies on hip fracture with focus in a Hispanic-American veteran male population.

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In-hospital mortality rate after osteoporotic hip fracture in Bucharest

Romanian Journal of Orthopaedic Surgery and Traumatology ◽

10.2478/rojost-2019-0010 ◽

2019 ◽

Vol 2 (1) ◽

pp. 48-51

Author(s):

Ramona Dobre ◽

Dan Niculescu ◽

Gheorghe Popescu ◽

Adrian Barbilian ◽

Cătălin Cîrstoiu ◽

...

Keyword(s):

Risk Factor ◽

Hip Fracture ◽

Mortality Rate ◽

Hospital Mortality ◽

Average Length ◽

Fragility Fractures ◽

Fragility Hip Fracture ◽

Osteoporotic Hip Fracture ◽

Increased Risk ◽

Male Sex

AbstractIntroduction: Hip fracture is the most severe consequence of osteoporosis and an important cause of excess mortality in the elderly.Objective: We aimed to evaluate the in-hospital mortality rate after osteoporotic hip fracture in patients treated surgically or functionally in specialized centers in Bucharest.Materials and methods: We calculated the in-hospital mortality rate in 745 patients (540 women [72.48%], with a mean age of 79.1 ± 11 years), surgically or functionally treated for fragility hip fracture over a 12 months period.Results: Average length of hospitalization was 18.12 days. In hospital mortality rate was 5.36% (n=40, women 60%). An important risk factor associated with mortality was age, p=0.001. The male sex was also a risk factor with a mortality rate of 7,8% (n=16), compared to 4.44% in women, p<0.005, with OR of 1.57. Out of the 40 patients, 57.5% had a femoral neck fracture, 35% intertrochanteric, and 5.5% atypical fracture in absence of bisphosphonates. 7.5% had previous fragility fractures. 85% of the patients had a history of one or more cardiac pathologies (34.28% with atrial fibrillation), 57.5% underwent surgical intervention (n=23) with an average day of intervention of 8.82 after admission. None of the patients had an osteoporosis treatment before the event and on average 3.73 medications with an increased risk of falling and fracture.Conclusion: In-hospital mortality rate after hip fracture remains high; probably this being related to the high comorbidity associated with male sex and increased age as risk factors.

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Mortality incidence and its determinants after fragility hip fractures: a prospective cohort study from an Egyptian level one trauma center

African Health Sciences ◽

10.4314/ahs.v21i2.41 ◽

2021 ◽

Vol 21 (2) ◽

pp. 806-816

Author(s):

Mohammad K Abdelnasser ◽

Ahmed A Khalifa ◽

Khaled G Amir ◽

Mohammad A Hassan ◽

Amr A Eisa ◽

...

Keyword(s):

Cohort Study ◽

Hip Fracture ◽

Mortality Rate ◽

Hospital Mortality ◽

Hip Fractures ◽

Prospective Cohort ◽

Mortality Rates ◽

Trochanteric Fractures ◽

Fragility Hip Fracture ◽

One Year

Background: Fragility hip fracture is a common condition with serious consequences. Most outcomes data come from Western and Asian populations. There are few data from African and Middle Eastern countries. Objective: The primary objective was to describe mortality rates after fragility hip fracture in a Level-1 trauma centre in Egypt. The secondary objective was to study the causes of re-admissions, complications, and mortality. Methods: A prospective cohort study of 301 patients, aged > 65 years, with fragility hip fractures. Data collected included sociodemographic, co-morbidities, timing of admission, and intraoperative,ostoperative, and post-discharge data as mortal- ity, complications, hospital stay, reoperation, and re-admission. Cox regression analysis was conducted to investigate factors associated with 1-year mortality. Results: In-hospital mortality was 8.3% (25 patients) which increased to 52.8% (159 patients) after one year; 58.5% of the deaths occurred in the first 3-months. One-year mortality was independently associated with increasing age, ASA 3-4, cardiac or hepatic co-morbidities, trochanteric fractures, total hospital stay, and postoperative ifection and metal failure. Conclusion: Our in-hospital mortality rate resembles developed countries reports, reflecting good initial geriatric health- care. However, our 3- and 12-months mortality rates are unexpectedly high. The implementation of orthogeriatric care after discharge is mandatory to decrease mortality rates. Keywords: Fragility hip fractures; trochanteric fractures; mortality rate.

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The Risk-Adjusted Charlson Comorbidity Index as a New Predictor of One-year Mortality rate in Elderly Chinese Patients who underwent Hip Fracture Surgery

Orthopaedics & Traumatology Surgery & Research ◽

10.1016/j.otsr.2021.102860 ◽

2021 ◽

pp. 102860

Author(s):

Fei Xing ◽

Rong Luo ◽

Wei Chen ◽

Zhou Xiang

Keyword(s):

Hip Fracture ◽

Mortality Rate ◽

Charlson Comorbidity Index ◽

Chinese Patients ◽

Hip Fracture Surgery ◽

Elderly Chinese ◽

Comorbidity Index ◽

One Year ◽

Fracture Surgery

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Risk of mortality and predisposing factors after osteoporotic hip fracture: a one-year follow-up study

Aging Clinical and Experimental Research ◽

10.1007/bf03325163 ◽

2012 ◽

Vol 24 (2) ◽

pp. 181-187 ◽

Cited By ~ 16

Author(s):

Marta González-Rozas ◽

José Luis Pérez-Castrillón ◽

Manuel González-Sagrado ◽

Marta Ruiz-Mambrilla ◽

Manuel García-Alonso

Keyword(s):

Hip Fracture ◽

Predisposing Factors ◽

Osteoporotic Hip Fracture ◽

Follow Up Study ◽

Risk Of Mortality ◽

One Year

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Factors Influencing The Six-Month Mortality Rate In Patients With A Hip Fracture

Slovenian Journal of Public Health ◽

10.1515/sjph-2016-0015 ◽

2016 ◽

Vol 55 (2) ◽

pp. 112-117 ◽

Cited By ~ 2

Author(s):

Tanja Prodovic ◽

Branko Ristic ◽

Nemanja Rancic ◽

Zoran Bukumiric ◽

Stepanovic Zeljko ◽

...

Keyword(s):

Risk Factors ◽

Hip Fracture ◽

Mortality Rate ◽

Potential Risk ◽

Cognitive Status ◽

Poor General Health ◽

Choice Of Treatment ◽

Potential Risk Factors ◽

One Year ◽

Type Of Fracture

Abstract Background There are several potential risk factors in patients with a hip fracture for a higher rate of mortality that include: comorbid disorders, poor general health, age, male gender, poor mobility prior to injury, type of fracture, poor cognitive status, place of residence. The aim of this study was to assess the influence of potential risk factors for six-month mortality in hip fracture patients. Methods The study included all patients with a hip fracture older than 65 who had been admitted to the Clinic for orthopaedic surgery during one year. One hundred and ninety-two patients were included in the study. Results Six months after admission due to a hip fracture, 48 patients had died (6-month mortality rate was 25%). The deceased were statistically older than the patients who had survived. Univariate regression analysis indicated that six variables had a significant effect on hip fracture patients’ survival: age, mobility prior to the fracture, poor cognitive status, activity of daily living, comorbidities and the place where they had fallen. Multivariate regression modelling showed that the following factors were independently associated with mortality at 6 months post fracture: poor cognitive status, poor mobility prior to the fracture, comorbid disease. Conclusion Poor cognitive status appeared to be the strongest mortality predictor. The employment of brief tests for cognitive status evaluation would enable orthopaedists to have good criteria for the choice of treatment for each patient screened.

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