The effects of cement fixation on survival in elderly patients with hip hemiarthroplasty: a nationwide cohort study
| Autor: | Shiao Chi Wu, Ming Che Tsai, Wei Ming Chen, Yee Yung Ng, Shang Wen Tsai |
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| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
Male Reoperation medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Sports medicine Taiwan Cement Postoperative Complications Sex Factors Rheumatology Risk Factors Internal medicine Epidemiology Humans Medicine Orthopedics and Sports Medicine Femur Retrospective Studies Aged 80 and over business.industry Mortality rate Age Factors Bone Cements Retrospective cohort study Syndrome Hip hemiarthroplasty Bone cement Postoperative survival Femoral Neck Fractures Treatment Outcome Orthopedic surgery Female Hemiarthroplasty Hip Prosthesis lcsh:RC925-935 business Elderly patient Research Article Cohort study |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-8 (2019) BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/s12891-019-3013-2 |
| Popis: | Background Hip hemiarthroplasty (HHA) is a common treatment for hip fractures in the elderly population. Because of the fatal effects of bone cement implantation syndrome, the safety of cement utilization to enhance implant firmness in the femur is controversial. The aim of this study was to investigate the postoperative survival of elderly patients receiving HHA with and without cement fixation. Methods Claim data from the National Health Insurance Database and the National Register of Deaths Database were used for analysis in this retrospective cohort study. From 2008 to 2014, 25,862 patients aged 80 years or older treated with hip hemiarthroplasty were included in the analysis. A Cox proportional risk model was used to analyse the effects of cement utilization on postoperative mortality. Results The cemented group had a significantly higher mortality risk than the non-cemented group within 7, 30, 180 days and 1 year after the operation. The effect of bone cement on postoperative mortality was significantly stronger within 7 days than within 30, 180 days and 1 year. In addition, the male gender, age > 85 years and higher score on the Charlson Comorbidity Index were also risk factors for mortality (p Conclusions The postoperative mortality rate of elderly patients undergoing HHA was significantly higher in the cemented group than in the non-cemented group. |
| Databáze: | OpenAIRE |
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