Nonagenarian hip fractures: Morbidity and mortality at a single institution
| Autor: | Matthew T. Wallace, Dane Bolton, Chelsea Bush |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
Hip fracture education.field_of_study Pediatrics medicine.medical_specialty Anemia business.industry Incidence (epidemiology) Population Perioperative medicine.disease 03 medical and health sciences Pneumonia 0302 clinical medicine Editorial medicine Dementia Orthopedics and Sports Medicine 030212 general & internal medicine Single institution business education |
| Zdroj: | J Clin Orthop Trauma |
| ISSN: | 0976-5662 |
| Popis: | Objectives The incidence of hip fractures continues to rise dramatically, but few studies have examined these injuries in the population of individuals over 90 years of age, which is one of the fastest growing populations. We present the largest such study specifically examining hip fractures in the super-elderly. Methods A review of 216 hip fracture patients over 90 years of age were examined for immediate postoperative complications and in-house, 30-day, and 1-year mortality. Results Overall 1-year mortality was 38.1%. Statistically-significant risk factors for 1-year mortality included oncologic fracture, dementia, and CHF. Fracture classification and hospital length of stay were associated with perioperative complications including anemia and pneumonia. Conclusion The nonagenarian hip fracture is associated with a higher 1-year mortality than prior reported rates of mortality for elderly hip fractures. Factors previously reported to influence the risk of 1-year mortality in hip fractures are not observed in the super-elderly. |
| Databáze: | OpenAIRE |
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