Nonoperative management of geriatric hip fractures was associated with significantly higher 1-year mortality compared to operative treatment (84.4% vs 36.4%; P<0.0001).
Cohort (n=231)
No
Does operative treatment reduce mortality in geriatric hip fracture patients compared to nonoperative management?
Operative treatment of geriatric hip fractures is associated with significantly lower mortality and longer life expectancy compared to nonoperative management.
Absolute Event Rate: 84.4% vs 36.4%
p-value: p=< 0.0001
OBJECTIVE: To report the mortality data and life expectancy of geriatric hip fracture patients who underwent nonoperative management and compare that with a matched operative cohort. DESIGN: Retrospective cohort study. SETTING: Level 1 trauma center. PATIENTS: Geriatric (65 years of age and older) femoral neck or intertrochanteric fracture (OTA/AO 31A and 31B) patients. INTERVENTION: Operative treatment with either arthroplasty, cannulated screws, sliding hip screw device, or cephalomedullary nail compared with nonoperative cohort. MAIN OUTCOME MEASUREMENTS: In-hospital, 30-day, and 1-year mortality. RESULTS: Two hundred thirty-one patients, comprising 154 operative and 77 nonoperative patients, were compared. There were no significant differences among age, sex, fracture location, Charlson Comorbidity Index, preinjury living location, dementia, and history of cardiac arrhythmia between the 2 cohorts. Nonoperatively managed patients were found to have a significantly higher percent in-hospital (28.6 vs. 3.9; P < 0.0001), 30-day (63.6 vs. 11.0; <0.0001), and 1-year (84.4 vs. 36.4; P < 0.0001) mortality. The mean life expectancy after a hip fracture for the nonoperative cohort was significantly shorter than the operative group (221 vs. 1024 days; P < 0.0001). CONCLUSIONS: Nonoperatively treated hip fracture patients had an 84.4% 1-year mortality that was significantly higher than a matched operative cohort. Our results demonstrate the bleak overall prognosis for nonoperatively treated geriatric hip fractures as well as the associated reduction in mortality with surgical treatment. Our findings offer helpful information by providing updated mortality data when discussing nonoperative hip fracture management with patients and their family. LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Chlebeck et al. (Wed,) conducted a cohort in Geriatric hip fracture (n=231). Nonoperative management vs. Operative treatment (arthroplasty, cannulated screws, sliding hip screw device, or cephalomedullary nail) was evaluated on 1-year mortality (p=< 0.0001). Nonoperative management of geriatric hip fractures was associated with significantly higher 1-year mortality compared to operative treatment (84.4% vs 36.4%; P<0.0001).