Charlson comorbidity index predicts the 10-year survivorship of the operatively treated hip fracture patients.

Autor:	Miettinen, Simo S. A., Savolainen, Susanna, Kröger, Heikki
Předmět:	MORTALITY risk factors CONFIDENCE intervals AGE distribution HIP fractures SURGICAL complications RETROSPECTIVE studies ACQUISITION of data HEALTH status indicators MANN Whitney U Test ORTHOPEDICS RISK assessment SEX distribution T-test (Statistics) SURVIVAL analysis (Biometry) MEDICAL records DESCRIPTIVE statistics REOPERATION FRACTURE fixation THERAPEUTIC complications ODDS ratio DATA analysis software COMORBIDITY LONGITUDINAL method DISEASE risk factors DISEASE complications OLD age
Zdroj:	European Journal of Orthopaedic Surgery & Traumatology; May2023, Vol. 33 Issue 4, p1141-1148, 8p
Abstrakt:	Purpose: The aim of this study was to determine how Charlson comorbidity index (CCI) predicts the 10-year survival of operatively treated hip fracture patients aged ≥ 65 years. Methods: This retrospective cohort study included all consecutive patients who had a hip fracture and were operatively treated upon in the study period from 01 January 2007 to 31 December 2007 at the university hospital. The clinical patient data were obtained from the medical records, and CCI score was calculated. The CCI predicts the 10-year mortality for a patient who may have a range of 22 comorbid conditions. Cumulative survival and complications were evaluated in terms of gender. Results: A total of 241 hip fractures were studied; of these, 183/241 (76%) were females. A total of 32/241 (15%) complications were found, of which 26/241 (11%) were considered major. Overall, 213/241 (88%) patients died during the 10 years of follow-up. Cumulative survival estimates for females were 13% at 10 years (SE = 0.3, 95% CI 3.8–4.8), and for males, it was 12% at 10 years (SE = 0.5, 95% CI 2.8–4.6) (p = 0.33). CCI was significantly associated with mortality after the hip fracture as patients with CCI scores ≥ 4 were at a 3.1–8.5 times higher risk of death compared to patients with low CCI scores of 2–3 (p < 0.001). Conclusion: Complications are common after operatively treated hip fracture. Advanced age, living in a care facility, ASA class 4 and high CCI score ≥ 4 were risk factors of mortality after the operatively treated hip fracture. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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