HIP FRACTURE SURGERY IN PATIENTS OLDER THAN 90 YEARS: EVALUATION OF FACTORS THAT AFFECT 30-DAY MORTALITY IN A PARTICULARLY RISKY GROUP
Küçük Resim Yok
Tarih
2018
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Gunes Kitabevi Ltd Sti
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Introduction: To date, hip fracture-related mortality studies are generally conducted on patients over 65 years of age. In our study, we predicted that factors affecting hip injury-related mortality may differ from the current literature and aimed to determine these factors in patients over 90 years of age who were hospitalized due to hip fracture. Materials and Method: The data of 118 patients who were operated for hip fracture at Karabuk University Training and Research Hospital between 2011 and 2014 were retrospectively reviewed. Each patient's age, sex, preoperative period, American Society of Anesthesiologists (ASA) score, type of anesthesia, comorbid diseases, blood transfusion requirements, fracture type, and mortality time were recorded. Results: The age difference between patients who died (death group) and survivors (survivor group) was statistically significant (p=0.004). The ejection fraction (EF) values of patients who died within the first 30 days after surgery were significantly lower (p=0.012) than those of the survivor group, and more comorbid diseases were seen in the death group (p=0.014). In addition, the median ASA score of the death group was higher than that of the survivor group (p=0.006). Conclusions: The 30-day mortality rate in our study was 27.9%, which is significantly higher compared with previous studies. To cope with high mortality rates in elderly patients with hip fracture, the patients' general medical conditions should be assessed in detail before surgical intervention and medical problems should be stabilized as early as possible.
Açıklama
Anahtar Kelimeler
Mortality, Hip Fractures, Arthroplasty, Replacement, Hip
Kaynak
Turkish Journal of Geriatrics-Turk Geriatri Dergisi
WoS Q Değeri
Q4
Scopus Q Değeri
Q4
Cilt
21
Sayı
2
