| Autor: |
Pass B; Department of Orthopedic and Emergency Surgery, Alfried Krupp Hospital, 45276 Essen, Germany., Knobe M; Department of Orthopaedic Trauma, Hospital Westmünsterland, 48683 Ahaus, Germany., Schmidt H; AUC-Academy for Trauma Surgery (AUC), 80538 Munich, Germany., Bliemel C; Center for Orthopedics and Trauma Surgery, University Hospital Giessen and Marburg, 35043 Marburg, Germany., Aigner R; Center for Orthopedics and Trauma Surgery, University Hospital Giessen and Marburg, 35043 Marburg, Germany., Liener U; Department for Orthopaedics and Trauma Surgery, Marienhospital Stuttgart, Böheimstrasse 37, 70199 Stuttgart, Germany., Lendemans S; Department of Orthopedic and Emergency Surgery, Alfried Krupp Hospital, 45276 Essen, Germany., Schoeneberg C; Department of Orthopedic and Emergency Surgery, Alfried Krupp Hospital, 45276 Essen, Germany., Boekeler U; Department for Orthopaedics and Trauma Surgery, Marienhospital Stuttgart, Böheimstrasse 37, 70199 Stuttgart, Germany., Registry For Geriatric Trauma Atr-Dgu |
| Abstrakt: |
Background/Objectives: Outcomes for hip fracture patients have improved over the years, yet the population of older patients (≥80 years) continues to grow. By 2100, the global centenarian population is projected to exceed 25 million, but data on hip fracture outcomes in this group are rare and often derived from small samples. This study aimed to analyze outcomes for centenarian hip fracture patients in specialized geriatric trauma centers and compare them with those of patients under 80. Methods: We conducted a retrospective analysis of the AltersTraumaRegister DGU ® from 2016 to 2022, including all proximal femur fracture data. Patients were categorized into two groups: under 80 years and centenarians. The primary outcome was in-hospital mortality, with secondary outcomes including quality of life, walking ability on postoperative day seven, length of hospital stay, readmission rates, and changes in living situations. Results: Among 14,521 patients, 316 were over 99 years old. In-house mortality was significantly higher in centenarians (15.44% vs. 3.58%; p < 0.001), with more discharged to nursing homes. After matching by the Geriatrics at Risk (GeRi) score, mortality differences diminished. Conclusions: While age is a risk factor for mortality, centenarian hip fracture patients' outcomes do not significantly differ from those aged ≤80 when considering other risk factors. |
