Key result
Male gender (20.8% vs 6.6%; OR 3.402), lower albumin levels (OR 10.16), and lower PaO2 levels (OR 2.916) were independent risk factors for perioperative pneumonia in geriatric hip fracture patients.
Why the study?
Pneumonia is a serious complication and primary risk factor for 30-day mortality following hip fracture, and modifying laboratory factors may improve outcomes in patients aged 80 years or older.
Population
293 patients aged 80 years or older with hip fracture
Comparison
Perioperative pneumonia vs non-perioperative pneumonia
Design
Retrospective cohort study
Authors
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May aid preoperative risk stratification in geriatric hip fracture patients; leaves open need for prospective validation before practice change.
Cohort (n=293)
No
Odds Ratio: 3.402
Absolute Event Rate: 20.83% vs 6.6%
p-value: p=0.048
Male gender, lower albumin levels, and lower PaO2 levels are independent risk factors for perioperative pneumonia in geriatric patients with hip fractures.
Wang et al. (2020) conducted a cohort in geriatric hip fracture (n=293). Male gender vs. Female gender was evaluated on perioperative pneumonia (OR 3.402, p=0.048). Male gender (20.8% vs 6.6%; OR 3.402), lower albumin levels (OR 10.16), and lower PaO2 levels (OR 2.916) were independent risk factors for perioperative pneumonia in geriatric hip fracture patients.
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