One-Year Mortality Rate of Patients over 65 Years Old with a Hip Fracture

Phil Hyun Chung; Suk Kang; Jong Pil Kim; Young Sung Kim; Ho Min Lee; Young Hwa Choi

doi:10.5371/jkhs.2011.23.2.137

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Chung, Kang, Kim, Kim, Lee, and Choi: One-Year Mortality Rate of Patients over 65 Years Old with a Hip Fracture

Original Article

The Journal of the Korean Hip Society

The Journal of the Korean Hip Society 2011; 23(2): 137-141.

Published online: 30 June 2011

DOI: https://doi.org/10.5371/jkhs.2011.23.2.137

One-Year Mortality Rate of Patients over 65 Years Old with a Hip Fracture

Phil Hyun Chung, MD, Suk Kang, MD, Jong Pil Kim, MD, Young Sung Kim, MD, Ho Min Lee, MD, Young Hwa Choi, MD

Department of Orthopedic Surgery, Gyeongju Hospital, College of Medicine, Dongguk University, Gyeongju, Korea.

Address reprint request to Young Sung Kim, MD. Department of Orthopedic Surgery, College of Medicine, Dongguk University, 1090-1 Seokjang-dong, Gyeongju 780-350, Korea. TEL: +82-54-770-8222, FAX: +82-54-770-8378, kys7374@freechal.com

Received 14 January 2011 Revised 22 March 2011 Accepted 29 March 2011

Abstract

Purpose

The purpose of this study was to determine the mortality at postoperative one year & the factors related to mortality for patients who are over 65 years old and who have a hip fracture.

Materials and Methods

The subjects of this study were 298 patients older than 65 years and who were operated on by one surgeon from 1995 to 2009.

Results

The one-year mortality rate for the over 65 years old patients with hip fracture was 15.8%. The one-year ortality rate was significantly related with the number of underlying diseases and with age of over 80 years old, but not with gender, the cause of trauma, the type of fracture, the operative methods, previous activity & the severity of osteoporosis. We found that 21.3% of the overall deaths occurred within 1 month and 57.5% of that occurred within 3 months.

Conclusion

The one-year mortality rate for the over 65 years old patients was 15.8%. The 1 year mortality rate for the over 65 years old patients was highly affected by the number of underlying diseases and an age of over 80 years old. As the majority of deaths occur within 3 months, intensive care is important during this period.

Keywords: Hip fracture, One-year mortality

Figures and Tables

Table 1

Mortality Rate within 1 Year

Table 2

Analysis of Various Factors on 1 Year Mortality

^*TA; Traffic Accident, ^†CHS; Compression Hip Screw, ^‡IMHS; Intramedullary Hip Screw,

^§S/A; Spinal Anesthesia, ^∥ G/A; General Anesthesia, ^¶BMD; Bone Mineral Density

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