Comparative One Year Mortality Rate between Treated and Untreated For Osteoporosis Therapy after Surgical Intervention for Hip Fracture

ABSTRACT BACKGROUND: Hip fractures are one of the leading causes of disability and dependency among the elderly. The rate of hip fractures has been progressively increasing due to the continuing increase in average life expectancy. Surgical intervention is the mainstay of treatment, but with an increasing prevalence of comorbid conditions and decreased functional capacity in elderly patients, more patients are prone to postoperative complications. OBJECTIVES: Assess the value of surgical intervention for hip fractures among the elderly by quantifying the 1-year mortality rate and assessing factors associated with mortality. DESIGN: Medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: All patients 60 years of age or older who sustained a hip fracture between the period of 2008 to 2018 in a single tertiary healthcare center. Data was obtained from case files, using both electronic and paper files. MAIN OUTCOME MEASURES: The 1-year mortality rate for hip fracture, postoperative complications and factors associated with mortality. SAMPLE SIZE: 802 patients. RESULTS: The majority of patients underwent surgical intervention (93%). Intra- and postoperative complications were 3% and 16%, respectively. Four percent of the sample died within 30 days, and 11% died within one year. In a multivariate analysis, an increased risk of 1-year mortality was associated with neck of femur fractures and postoperative complications ( P =.034, <.001, respectively) CONCLUSION: The 1-year mortality risk in our study reinforces the importance of aggressive surgical intervention for hip fractures. LIMITATION: Single-centered study. CONFLICT OF INTEREST: None.

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One-year mortality rate after hip fracture in the western region of Saudi Arabia

Current Orthopaedic Practice ◽

10.1097/bco.0000000000000841 ◽

2020 ◽

Vol 31 (2) ◽

pp. 115-119

Author(s):

Amro Al-Hebshi ◽

Adel Hegaze ◽

Hesham N. Mustafa ◽

Bayan Tash ◽

Dana Sawan ◽

...

Keyword(s):

Saudi Arabia ◽

Hip Fracture ◽

Mortality Rate ◽

Western Region ◽

The Western Region ◽

One Year

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Hip fracture patients, Complications and Nutritional demands for Healing

International Journal of Life Sciences ◽

10.3126/ijls.v8i4.10894 ◽

2014 ◽

Vol 8 (4) ◽

pp. 20-25

Author(s):

Mohammad Ayati Firoozabadi

Keyword(s):

Hip Fracture ◽

Mortality Rate ◽

Hospital Admissions ◽

Normal Population ◽

Institutional Care ◽

Routine Clinical Practice ◽

Health Statistics ◽

Return Home ◽

One Year

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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Systematic review and meta-analysis of the association between frailty and outcome in surgical patients

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2016.0048 ◽

2016 ◽

Vol 98 (2) ◽

pp. 80-85 ◽

Cited By ~ 44

Author(s):

K Oakland ◽

R Nadler ◽

L Cresswell ◽

D Jackson ◽

PA Coughlin

Keyword(s):

Mortality Rate ◽

Hospital Stay ◽

Surgical Intervention ◽

Discharge Rate ◽

Meta Analysis ◽

Length Of Hospital Stay ◽

The Elderly ◽

Surgical Patients ◽

Step Down ◽

One Year

Introduction Frailty is becoming increasingly prevalent in the elderly population although a lack of consensus regarding a clinical definition hampers comparison of clinical studies. More elderly patients are being assessed for surgical intervention but the effect of frailty on surgical related outcomes is still not clear. Methods A systematic literature search for studies prospectively reporting frailty and postoperative outcomes in patients undergoing surgical intervention was performed with data collated from a total of 12 studies. Random effects meta-analysis modelling was undertaken to estimate the association between frailty and mortality rates (in-hospital and one-year), length of hospital stay and the need for step-down care for further rehabilitation/nursing home placement. Results Frailty was associated with a higher in-hospital mortality rate (pooled odds ratio [OR]: 2.77, 95% confidence interval [CI]: 1.62–4.73), a higher one-year mortality rate (pooled OR: 1.99, 95% CI: 1.49–2.66), a longer hospital stay (pooled mean difference: 1.05 days, 95% CI: 0.02–2.07 days) and a higher discharge rate to further rehabilitation/step-down care (pooled OR: 5.71, 95% CI: 3.41–9.55). Conclusions The presence of frailty in patients undergoing surgical intervention is associated with poorer outcomes with regard to mortality and return to independence. Further in-depth studies are required to identify factors that can be optimised to reduce the burden of frailty in surgical patients.

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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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A Comparison of Mortality following Distal Femoral Fractures and Hip Fractures in an Elderly Population

Advances in Orthopedic Surgery ◽

10.1155/2014/873785 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 7

Author(s):

R. W. Jordan ◽

G. S. Chahal ◽

M. Davies ◽

K. Srinivas

Keyword(s):

Mortality Rate ◽

Hip Fractures ◽

Femoral Fracture ◽

Elderly Population ◽

Surgical Intervention ◽

Femoral Fractures ◽

Mortality Rates ◽

Distal Femoral Fracture ◽

Distal Femoral Fractures ◽

One Year

Introduction. Patients suffering a distal femoral fracture are at a high risk of morbidity and mortality. Currently this cohort is not afforded the same resources as those with hip fractures. This study aims to compare their mortality rates and assess whether surgical intervention improves either outcome or mortality following distal femoral fractures. Methods. Patients over sixty-five admitted with a distal femoral fracture between June 2007 and 2012 were retrospectively identified. Patients mobility was categorised as unaided, walking aid, zimmer frame, or immobile. The 30-day, six-month, and one-year mortality rates were recorded for this group as well as for hip fractures during the same period. Results. 68 patients were included in the study. The mortality rate for all patients with distal femoral fractures was 7% at 30 days, 26% at six months, and 38% at one year, higher than hip fractures during the same period by 8%, 13%, and 18%, respectively. Patients managed surgically had lower mortality rates and higher mobility levels. Conclusion. Patients suffering a distal femoral fracture have a high mortality rate and surgical intervention seems to improve both mobility and mortality.

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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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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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