Key result
Overall mortality for surgically treated hip fracture patients aged 60 or older was 13.7% at 100 days and 24.9% at one year, with patient factors rather than process factors driving outcomes.
Why the study?
What factors influence long-term mortality in elderly patients surgically treated for hip fracture?
Cohort (n=463)
No
What factors influence long-term mortality in elderly patients surgically treated for hip fracture?
Patient-related factors, rather than process-related factors like surgical delay, are the main determinants of mortality following hip fracture surgery in the elderly.
May support comorbidity-focused perioperative care in elderly hip fracture patients; hypothesis-generating for interventions targeting patient rather than process factors.
This study was undertaken to identify factors influencing outcome in elderly patients operated for hip fracture. In particular, this study examined factors related to mortality at least 30 months post-fracture. Hospital records and death registrations were analysed for 463 patients aged 60 or more years treated for hip fracture at a Queensland regional hospital between 1997 and 2001. The overall mortality for surgically treated patients was 13.7% at 100 days and 24.9% at one year Patient factors including age, gender, health status and place of residence were the predominant influences on mortality. Non-patient and process factors including delay to surgery, type of operation and type of anaesthetic had minimal impact on mortality. No major determinants of length of hospital stay were identified. Patient health status was the main determinant for surgical delay. Our results confirm the persistently high mortality in this group of patients, and suggest that the main determinants of outcome are patient- rather than process-related.
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McLeod et al. (2005) conducted a cohort in Hip fracture (n=463). Surgically treated hip fracture was evaluated on Mortality. Overall mortality for surgically treated hip fracture patients aged 60 or older was 13.7% at 100 days and 24.9% at one year, with patient factors rather than process factors driving outcomes.
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