Key result
Preoperative comorbidities, particularly chronic kidney disease (HR 2.32) and diabetes mellitus (HR 1.66), significantly increased 1-year mortality in elderly Indian patients with hip fractures.
Why the study?
Hip fractures are an emerging global healthcare problem, and mortality rates along with the impact of pre- and postoperative complications required evaluation for better risk stratification in the Indian elderly population.
Cohort (n=381)
No
Preoperative comorbidities, particularly chronic kidney disease and diabetes mellitus, significantly increase the risk of 1-year mortality in elderly Indian patients undergoing hip fracture surgery.
Answers are grounded in this paper and cite their sources.
Indian hip fracture patients show fivefold excess mortality; leaves open whether targeted interventions improve outcomes in this population.
Background: Hip fractures are an emerging health care problem due to increase in the elderly population all over the world and the associated complications, morbidity and mortality. The objective of this study is to find out the mortality rates in Indian elderly population with hip fractures and to establish an association between various related complications pre and post operatively for a better risk stratification. Methods: A prospective observational cohort study, was carried out at a high-volume orthopaedic centre from 2009 to 2018. And all patients managed for hip fractures were followed up till death or 05 years. Results: The age adjusted first-year mortality was found to be 33% with statistically significant increase in the mortality in individuals with three or more pre-op comorbidities. The significantly associated co-morbidities were chronic renal failure (Hazard ratio 2.32 with CI 1.65- 3.24) and diabetes mellitus (Hazard ratio 1.66 with CI 1.25 – 2.21). There has been a significant dip in the cumulative survival rates of these individuals irrespective of age, sex, preop anaemia. Conclusions: A knowledge about the comorbidities/ risk factors and the extent to which they influence the long-term survival in the geriatric hip fracture patients can help treating physician to effectively prioritise and plan management in coordination with allied specialities.
No takes yet. Share an insight, caveat, or question.
Prashant Pratim Padhi (2021) conducted a cohort in Hip fractures (intertrochanteric and neck of femur) (n=381). Preoperative comorbidities (specifically chronic kidney disease) vs. Absence of the specific comorbidity was evaluated on 1-year mortality (HR 2.32, 95% CI 1.65-3.24, p=<0.001). Preoperative comorbidities, particularly chronic kidney disease (HR 2.32) and diabetes mellitus (HR 1.66), significantly increased 1-year mortality in elderly Indian patients with hip fractures.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: