One-year mortality rates and factors affecting mortality after surgery for fracture neck of femur in the elderly.

Publisher: Medknow Publications Country of Publication: India NLM ID: 101552746 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0976-7800 (Print) Linking ISSN: 09767800 NLM ISO Abbreviation: J Midlife Health Subsets: PubMed not MEDLINE

Original Publication: Mumbai : Medknow Publications, [2010]-

Context: Fractures around hip in elderly are associated with significant morbidity and mortality.
Aim: This sudy aims to investigate 1-year mortality rates and risk factors associated with this mortality. Effect of delay in surgery on mortality rates will also be studied. Our null-hypothesis was that there is no association between common comorbid conditions or delay in surgery on 1-year mortality rates.
Study Settings and Design: Patients 60-years and above who underwent operative treatment for fracture of neck of femur between January 2018 and February 2019 were included in this retrospective study.
Materials and Methods: Demographic and clinical data were collected from hospital information system and inpatient case records. Patients were followed up with quality of life (QoL) assessment with short form-12 (SF-12) at 1 year. Mortality during this period was also evaluated.
Statistical Analysis: Continuous factors were expressed as means, standard deviations. Different risk factors between the patients alive and dead were studied using Fisher's exact test.
Results: Nineteen out of 95 patients died at the end of 1 year. Smoking, hypertension, diabetes, low hemoglobin, raised total leukocyte count, low serum albumin, delay in surgery (>1 week), higher American Society of Anesthesiologist grade, and postoperative blood transfusion were significantly associated with higher mortality rates. Mean SF-12 QoL scores at 1 year was 35.6 ± 6.3.
Conclusion: Hip fractures in elderly are associated with higher mortality rates. Results of this study indicate that patients at a higher risk of mortality may be identified and help in preoperative optimization with the aim to reduce mortality. However, these findings need to be verified by further studies with a relatively larger sample size and longer follow-up period.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2022 Journal of Mid-life Health.)

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Keywords: Fracture neck of femur; fragility fractures; hip fracture; mortality; osteoporosis; short form-12

Date Created: 20220310 Latest Revision: 20220311

20231215

PMC8849149

10.4103/jmh.jmh_208_20

35264833