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November 10, 2015International Journal of SurgeryOpen Access

Hip fractures in patients older than 75 years old: Retrospective analysis for prognostic factors

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Key result

In patients aged 75 and older with hip fractures, overall first-year mortality was 40%, with age over 85 and total hip arthroplasty identified as significant risk factors (p=0.0003 for both).

Why the study?

What are the prognostic factors for first-year mortality in patients older than 75 years undergoing surgery for proximal femoral fractures?

Population

115 patients aged 75 and over with post-fall proximal femoral fracture who underwent surgery, including 75…

Design

Cohort

Follow-up

1 year

Authors

GKGökhan KarademirYBYücel BilginAEAli Erşen

Discussion

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Member takes

Overview

May inform preoperative risk counseling in patients over 75; hypothesis-generating and should not yet change practice.

Study Design

Type

Cohort (n=115)

Structured PICO

What are the prognostic factors for first-year mortality in patients older than 75 years undergoing surgery for proximal femoral fractures?

P
Population
115 patients aged 75 and older with post-fall proximal femoral fractures who underwent surgery, evaluated retrospectively for factors affecting first-year mortality.
E
Exposure
Surgery for proximal femoral fracture (hemiarthroplasty, proximal femoral nail, or total hip arthroplasty)
O
Outcome
First-year mortalityhard clinical

Main Result

p-value: p=0.0003

In patients over 75 with hip fractures, age >85 and treatment with total hip arthroplasty are significant risk factors for first-year mortality.

Cite This Study

Karademir et al. (2015) conducted a cohort in Proximal femoral fractures (n=115). Prognostic factors (age >85, total hip arthroplasty, blood transfusion) vs. Younger age (75-85), proximal femoral nail was evaluated on First year mortality (p=0.0003). In patients aged 75 and older with hip fractures, overall first-year mortality was 40%, with age over 85 and total hip arthroplasty identified as significant risk factors (p=0.0003 for both).

synapsesocial.com/papers/6a842a8a7e95b97f4e72fa39https://doi.org/10.1016/j.ijsu.2015.11.009
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Also Consider

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