J Korean Orthop Assoc.  2012 Dec;47(6):445-451. 10.4055/jkoa.2012.47.6.445.

Postoperative Mortality and the Associated Factors in Elderly Patients with Hip Fracture

Affiliations
  • 1Department of Orthopaedic Surgery, Soon Chun Hyang Univresity Hospital, Seoul, Korea. schkyb@schmc.ac.kr

Abstract

PURPOSE
The aim of this study was to determine the mortality and factors that are related to the mortality in elderly patients with hip fracture.
MATERIALS AND METHODS
Between March 2006 and December 2009, 304 patients who were 65 years or older underwent surgery for hip fracture. Among them, 261 patients were available and 43 patients excluded from this study, as they were unable to be evaluated for one year mortality. We analyzed the relationship between the postoperative mortality and the associated factors (age, gender, the type of operation, the type of fracture, method of anesthesia, comorbidity, operation delay).
RESULTS
The one year mortality rate for elderly patients with hip fracture was 10.7%. There was no relationships between the postoperative mortality and the type of operation, the type of fracture, and method of anesthesia. However, age, gender, the number of comorbidity, operation delay, and dementia of comorbidity were factors associated with the mortality rate for elderly patients with hip fracture.
CONCLUSION
The one year mortality rate for elderly patients with hip fracture was 10.7%. Age, gender, the number of comorbidity, operation delay, and dementia of comorbidity were factors associated with the mortality rate in elderly patients with hip fracture.

Keyword

elderly; hip fractures; mortality; associated factors

MeSH Terms

Aged
Anesthesia
Comorbidity
Dementia
Hip
Hip Fractures
Humans

Cited by  2 articles

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Hip Pelvis. 2013;25(2):127-134.    doi: 10.5371/hp.2013.25.2.127.

The Influence of Stroke on Postoperative Prognosis of Femoral Intertrochanteric Fractures
Youn Soo Hwang, Kyu Pill Moon, Kyung Taek Kim, Won Seok Park, Joon Yeon Song, Jeong Hoon Chae
J Korean Orthop Assoc. 2016;51(4):273-280.    doi: 10.4055/jkoa.2016.51.4.273.


Reference

1. Kenzora JE, McCarthy RE, Lowell JD, Sledge CB. Hip fracture mortality. Relation to age, treatment, preoperative illness, time of surgery, and complications. Clin Orthop Relat Res. 1984. (186):45–56.
2. Zuckerman JD, Skovron ML, Koval KJ, Aharonoff G, Frankel VH. Postoperative complications and mortality associated with operative delay in older patients who have a fracture of the hip. J Bone Joint Surg Am. 1995. 77:1551–1556.
Article
3. Ihn JC, Kim PT, Park IH, Kim SY, Oh CW, Kim JH. Mortality rate in older patients who have a hip fracture. J Korean Soc Fract. 1997. 10:1–7.
Article
4. Chang JD, Kang ST, Lee EJ, Choi SJ, Chang HG, Lee CJ. A study of the factors which influence on the one-year mortality rate after hemiarthroplasty in older patients with hip fracture. J Korean Hip Soc. 1998. 10:225–232.
Article
5. Choi JC, Na HY, Lee YS, et al. Mortality after treatment of hip fracture over 80 years old. J Korean Hip Soc. 2006. 18:116–120.
Article
6. Hwang CS, Chung PH, Kang S, Kim TH, Kim HC, Kim YS. Comparison between results of treatment of the femoral neck and intertrochanteric fractures: focused on mortality rate and complications. J Korean Soc Fract. 1999. 12:792–802.
Article
7. Kim SK, Hong JS, Park JH, Park JW, Kim JH. Mortality and functional recovery after bipolar hemiarthroplasty of femoral neck fractures in elderly patients. J Korean Hip Soc. 2002. 14:49–57.
Article
8. Lee SR, Kim SR, Chung KH, et al. Mortality and Activity after Hip Fracture: A Prospective Study. J Korean Orthop Assoc. 2005. 40:423–427.
Article
9. Canale ST, Beaty JH. Campbell's operative orthopaedics. 2008. 11th ed. Philadelpia: Mosby Elsevier corp.;3237–3286.
Article
10. Kim DS, Shon HC, Kim YM, Choi ES, Park KJ, Im SH. Postoperative mortality and the associated factors for senile hip fracture Patients. J Korean Orthop Assoc. 2008. 43:488–494.
Article
11. Miller CW. Survival and ambulation following hip fracture. J Bone Joint Surg Am. 1978. 60:930–934.
Article
12. White BL, Fisher WD, Laurin CA. Rate of mortality for elderly patients after fracture of the hip in the 1980's. J Bone Joint Surg Am. 1987. 69:1335–1340.
Article
13. Kho DH, Kim KH, Shin JY, Lee JH, Kim DH. Postoperative mortality rate of hip fracture in elderly patients. J Korean Fract Soc. 2006. 19:117–121.
Article
14. Søreide O, Lillestøl J. Survival patterns following primary prosthetic replacement for acute femoral neck fractures in the elderly. Scand J Soc Med. 1980. 8:73–80.
15. Garden RS. Selective surgery in medial fractures of the femoral neck: a review. Injury. 1977. 9:5–7.
16. Sikorski JM, Barrington R. Internal fixation versus hemiarthroplasty for the displaced subcapital fracture of the femur. A prospective randomised study. J Bone Joint Surg Br. 1981. 63:357–361.
Article
17. Karagiannis A, Papakitsou E, Dretakis K, et al. Mortality rates of patients with a hip fracture in a southwestern district of Greece: ten-year follow-up with reference to the type of fracture. Calcif Tissue Int. 2006. 78:72–77.
Article
18. Koval KJ, Zuckerman JD. Functional recovery after fracture of the hip. J Bone Joint Surg Am. 1994. 76:751–758.
Article
19. Koval KJ, Aharonoff GB, Rokito AS, Lyon T, Zuckerman JD. Patients with femoral neck and intertrochanteric fractures. Are they the same? Clin Orthop Relat Res. 1996. (330):166–172.
Article
20. Elmerson S, Zetterberg C, Andersson GB. Ten-year survival after fractures of the proximal end of the femur. Gerontology. 1988. 34:186–191.
Article
21. Eiskjaer S, Gelineck J, Søballe K. Fractures of the femoral neck treated with cemented bipolar hemiarthroplasty. Orthopedics. 1989. 12:1545–1550.
Article
22. Davis TR, Sher JL, Porter BB, Checketts RG. The timing of surgery for intertrochanteric femoral fractures. Injury. 1988. 19:244–246.
Article
23. Dolk T. Influence of treatment factors on the outcome after hip fractures. Ups J Med Sci. 1989. 94:209–221.
Article
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