J Bone Metab.  2012 Nov;19(2):83-86. 10.11005/jbm.2012.19.2.83.

Mortality after Hip Fractures in Nonagenarians

• Kang BJ
• Lee YK
• Lee KW
• Won SH
• Ha YC
• Koo KH

• KMID: 1975980
• DOI: http://doi.org/10.11005/jbm.2012.19.2.83

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.

Keyword

Hip fractures; Mortality; Nonagenarians

MeSH Terms

Aged, 80 and over
Female
Femoral Neck Fractures
Femur
Hip
Hip Fractures
Humans
Male
Multivariate Analysis
Risk Factors

Figure

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  Fig. 1 The distribution of patients according to their American Society of Anaesthetists status. ASA, American Society of Anaesthetists.

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  Fig. 2 The numbers of patients with comorbidities in nonagenarians.

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  Fig. 3 Survival curve of men and women after hip fracture. The survival rate at two year is 31.0% in men, and 59.0% in women.

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