Elderly patients receiving nonoperative treatment for hip fracture had a significantly lower rate of regaining walking ability on discharge (40%) compared to those receiving operative treatment (68.9%).
Cohort (n=224)
No
Does nonoperative treatment worsen functional and survival prognoses compared to surgery in elderly patients with hip fractures?
Nonoperative treatment for hip fractures in elderly patients is associated with poorer functional prognosis compared to surgical intervention.
Absolute Event Rate: 40% vs 68.9%
p-value: p=<0.05
Among 224 patients aged 60 years of older with hip fractures, 30 underwent nonoperative treatment. The functional and survival prognoses of these patients were investigated and compared with patients who underwent surgery. The operated and nonoperated groups did not differ in age on injury, dementia status and in-hospital mortality. However, the nonoperated patients had a higher risk on admission and poorer functional prognosis than did the operated patients. Furthermore, within the nonoperated group, patients with dementia had significantly poorer walking ability than those without.
A Sat, study conducted a cohort in Proximal femoral fracture (hip fracture) (n=224). Nonoperative treatment vs. Operative treatment was evaluated on Regained walking ability on discharge (among those ambulatory before injury) (p=<0.05). Elderly patients receiving nonoperative treatment for hip fracture had a significantly lower rate of regaining walking ability on discharge (40%) compared to those receiving operative treatment (68.9%).