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

You-Sung Suh; Yong-Beom Kim; Hyung-Suk Choi; Hong-Kee Yoon; Gi-Won Seo; Byung-Ill Lee

doi:10.4055/jkoa.2012.47.6.445

Journal List > J Korean Orthop Assoc > v.47(6) > 1013192

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Suh, Kim, Choi, Yoon, Seo, and Lee: Postoperative Mortality and the Associated Factors in Elderly Patients with Hip Fracture

Original Article

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2012; 47(6): 445-451.

Published online: 28 December 2012

DOI: https://doi.org/10.4055/jkoa.2012.47.6.445

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

You-Sung Suh, M.D., Yong-Beom Kim, M.D., Hyung-Suk Choi, M.D., Hong-Kee Yoon, M.D., Gi-Won Seo, M.D., Byung-Ill Lee, M.D.

Department of Orthopaedic Surgery, Soon Chun Hyang Univresity Hospital, Seoul, Korea.

Correspondence to: Yong-Beom Kim, M.D. Department of Orthopaedic Surgery, Soon Chun Hyang Univresity Hospital, 59, Daesagwan-ro, Yongsan-gu, Seoul 140-743, Korea. TEL: +82-2-709-9254, FAX: +82-2-794-9414, schkyb@schmc.ac.kr

Received 11 July 2012 Revised 4 October 2012 Accepted 24 October 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: elderly, hip fractures, mortality, associated factors

Figures and Tables

Table 1

Mortality Rate within 1-Year

Table 2

Analysis of Various Factors on 1-Year Mortality

^*Compression hip screw, Intertrochanteric-Subtrchanteric Nail, Proximal femoral Nail, Cannulated screw.

Table 3

Stratified Analysis by Age to Identify the Gender for the Mortality Rate within 1-Year

CRF, chronic renal failure.

Table 4

Analysis of Underlying Disease on 1-Year Mortality

CVA, cerebrovascular accident; COPD, chronic obstructive pulmonary disease; CRF, chronic renal failure.

References

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.

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.

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.

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.

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.

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.

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.

9. Canale ST, Beaty JH. Campbell's operative orthopaedics. 2008. 11th ed. Philadelpia: Mosby Elsevier corp.;3237–3286.

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.

11. Miller CW. Survival and ambulation following hip fracture. J Bone Joint Surg Am. 1978. 60:930–934.

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.

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.

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.

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.

18. Koval KJ, Zuckerman JD. Functional recovery after fracture of the hip. J Bone Joint Surg Am. 1994. 76:751–758.

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.

20. Elmerson S, Zetterberg C, Andersson GB. Ten-year survival after fractures of the proximal end of the femur. Gerontology. 1988. 34:186–191.

21. Eiskjaer S, Gelineck J, Søballe K. Fractures of the femoral neck treated with cemented bipolar hemiarthroplasty. Orthopedics. 1989. 12:1545–1550.

22. Davis TR, Sher JL, Porter BB, Checketts RG. The timing of surgery for intertrochanteric femoral fractures. Injury. 1988. 19:244–246.

23. Dolk T. Influence of treatment factors on the outcome after hip fractures. Ups J Med Sci. 1989. 94:209–221.

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