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

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-05-13 DOI:10.1016/j.jcot.2025.103058

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

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引用次数: 0

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.

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手术干预后老年髋部骨折患者的死亡率——印度北部三级保健中心的机构审查

背景：我们对前瞻性收集的数据进行了回顾性研究，以发现手术髋部骨折的老年患者30天和1年的死亡率，并评估死者和幸存者之间各种不可改变和可改变因素的可能关联。方法纳入2018年7月至2024年2月收治并手术的老年髋部骨折（股骨粗隆或/和股骨颈）患者（60岁以上），如果存活，至少随访4.5个月（18周）。非手术治疗的患者，年龄60岁，伴有下肢损伤或多发创伤，未在上述时间内跌倒的患者以及先前手术过的髋部骨折患者被排除在研究之外。向病人或其家属进行电话查询，以了解病人是否还活着或已经死亡。收集到的数据被用来计算死亡率。相关的统计分析应用于寻找死亡率与各种数据之间的关联，人口统计学，损伤相关，合并症和血液学。结果根据纳入-排除标准，共纳入168例患者。其中，有136名患者随访一年或更长时间。30天死亡率为4.76%（168例中有8例），1年死亡率为19.85%（136例中有27例）。入院时“任何合并症”和“合并症总数”的存在与死亡个体相比具有显著的相关性（两者的p值均为0.001）。生存时间（天数）与合并症的数量也有统计学上显著的负相关。结论老年患者髋部骨折术后1年死亡率仍高达五分之一。合并症对1年死亡率有显著影响，术后生存时间与合并症数量呈负相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.