| Autor: |
Konstantinou P; 2nd Orthopaedic Department, Aristotle University of Thessaloniki, 'G. Gennimatas' Hospital, Eth. Aminis 41, 546 35 Thessaloniki, Greece.; University Hospitals Birmingham NHS Foundation Trust, Birmingham B7 5TE, UK., Kostretzis L; 2nd Orthopaedic Department, Aristotle University of Thessaloniki, 'G. Gennimatas' Hospital, Eth. Aminis 41, 546 35 Thessaloniki, Greece., Fragkiadakis G; Healthcare Management, School of Social Science, Hellenic Open University, 263 35 Patra, Greece., Touchtidou P; 2nd Orthopaedic Department, Aristotle University of Thessaloniki, 'G. Gennimatas' Hospital, Eth. Aminis 41, 546 35 Thessaloniki, Greece., Mavrovouniotis A; 2nd Orthopaedic Department, Aristotle University of Thessaloniki, 'G. Gennimatas' Hospital, Eth. Aminis 41, 546 35 Thessaloniki, Greece., Davitis V; 2nd Orthopaedic Department, Aristotle University of Thessaloniki, 'G. Gennimatas' Hospital, Eth. Aminis 41, 546 35 Thessaloniki, Greece., Ditsiou AZ; School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece., Gigis I; 2nd Orthopaedic Department, Aristotle University of Thessaloniki, 'G. Gennimatas' Hospital, Eth. Aminis 41, 546 35 Thessaloniki, Greece., Nikolaides AP; University Hospitals Birmingham NHS Foundation Trust, Birmingham B7 5TE, UK., Niakas D; Healthcare Management, School of Social Science, Hellenic Open University, 263 35 Patra, Greece., Papadopoulos P; 2nd Orthopaedic Department, Aristotle University of Thessaloniki, 'G. Gennimatas' Hospital, Eth. Aminis 41, 546 35 Thessaloniki, Greece., Ditsios K; 2nd Orthopaedic Department, Aristotle University of Thessaloniki, 'G. Gennimatas' Hospital, Eth. Aminis 41, 546 35 Thessaloniki, Greece. |
| Abstrakt: |
Background: Fragility-related pertrochanteric fractures have become a significant public health concern, with a rising incidence attributed to the expanding elderly demographic. Assessing patient-reported health-related quality of life (HRQoL), mortality, and factors correlated with them serves as a crucial metric in evaluating the effectiveness of hip fracture surgery. Methods: In a single-center retrospective study, 259 patients underwent surgical treatment with a cephalomedullary nail, with a mean follow-up of 21.7 months. Health-related quality of life (HRQoL) was assessed using SF-12 (12-item Short Form) and EQ-5D (EuroQoL-5 Dimensions) questionnaires. Mobility status was measured by the Crude Mobility Index (CMI). Surveys were administered during hospitalization and six months postoperatively. Statistical analysis involved descriptive statistics, non-parametric controls (Kendall, Mann-Whitney, and Wilcoxon), and Spearman correlation and logistic regression analysis, which were conducted using IBM SPSS version 28. Results: A statistically significant decrease was observed in the mean EQ-5D and SF-12 scores at 6 months post-op compared to the pre-fracture status. The ASA (American Society of Anaesthesiologists) score showed a significant correlation with the decrease in HRQoL measured by the SF-12 questionnaire. The 30-day post-operative mortality rate was 9.3%, increasing to 32.4% at 1 year. Notably, the 30-day mortality significantly rose during the pandemic era (5.0% vs. 12.0%; p = 0.003). Conclusions: Pertrochanteric hip fractures cause a lasting decline in quality of life. Annual mortality is high, and further investigations are needed to formulate policies that prevent hip fractures and reduce mortality rates. |
