Why the study?
What are the prognostic factors for mortality and length of stay in elderly patients with proximal femoral fracture following surgical treatment?
What are the prognostic factors for mortality and length of stay in elderly patients with proximal femoral fracture following surgical treatment?
Pre-fracture mental and mobility states, along with post-operative general complications, are key prognostic factors for mortality and length of stay in elderly patients with proximal femoral fractures.
Pre-fracture mental/mobility assessment may refine prognosis in elderly hip fracture; leaves open whether targeted interventions improve outcomes.
A prospective study of 125 elderly patients (over 65 years) with proximal femoral fracture was carried out to compare pre-fracture sociomedical factors with the local and general complications following surgical treatment, in predicting mortality and length of stay. A poor pre-fracture mental state was more important than associated physical illness in predicting mortality. Pre-fracture mobility state was the most useful early prognostic predictor of length of hospitalization. Post-operative general complications were the most significant in predicting mortality and length of hospitalization, and more important than failure of operative technique.
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Young et al. (1984) studied this question.
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