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Mortality After Hip Fractures in Nonagenarians

Overview
Journal J Bone Metab
Date 2014 Feb 14
PMID 24524037
Citations 21
Authors
Bun Jung Kang
Young-Kyun Lee
Ki-Woong Lee
Sung-Hun Won
Yong-Chan Ha
Kyung-Hoi Koo
Affiliations
Soon will be listed here.
Abstract

Objectives: Nonagenarians with hip fractures represent a special group of people because of their advanced age and co-morbidities. We evaluated mortality after hip fractures in nonagenarians.

Methods: Fifty-one patients were studied over a 2-year period. There were 39 female and 12 male patients. Twenty seven patients sustained an intertrochanteric fracture of the femur, 24 suffered from femoral neck fracture. The American Society of Anaesthetists (ASA) score of II was the most frequent among 51. Forty-one of them had one or more co-morbidities. Patient review was done 2 years after the fracture.

Results: The mortality rate at one year was 53.4% in men, and 15.7% in women. After multivariate analysis, the type of fracture (intertrochanteric fracture) was identified as a risk factor for one-year mortality (P = 0.025).

Conclusion: The outcome in nonagenarians with hip fractures is poor due to the high rates of mortality, especially in men, and this could be informed to patients and their families before hip fracture surgery.

Citing Articles

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Lynch D, Romero A, McFadden J, Zeblisky P, Liu H, Ang D Orthop Surg. 2024; 17(1):252-259.

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Factors associated with thirty-day mortality and intensive care unit admission in patients undergoing hip fracture surgery.

Tekir Yilmaz E, Sahin Y, Olgun Keles B, Altinbas A Ulus Travma Acil Cerrahi Derg. 2024; 30(8):571-578.

PMID: 39092971 PMC: 11372486. DOI: 10.14744/tjtes.2024.24186.

Hip Fractures in Centenarians: Functional Outcomes, Mortality, and Risk Factors from a Multicenter Cohort Study.

Jang B, Kim J, Nho J, Lee Y, Park J, Cha Y Clin Orthop Surg. 2023; 15(6):910-916.

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The Korean hip fracture registry study.

Park J, Ha Y, Kim J, Kim T, Kim J, Baek S BMC Musculoskelet Disord. 2023; 24(1):449.

PMID: 37268896 PMC: 10236602. DOI: 10.1186/s12891-023-06546-z.

Validation of Operational Definition to Identify Patients with Osteoporotic Hip Fractures in Administrative Claims Data.

Lee Y, Yoo J, Kim T, Ha Y, Koo K, Choi H Healthcare (Basel). 2022; 10(9).

PMID: 36141336 PMC: 9498336. DOI: 10.3390/healthcare10091724.

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