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March 25, 2020Journal of OrthopaedicsOpen Access

Investigating the risk factors that affect mortality after cemented hemiarthroplasty in advanced age patients

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Key result

Partial hip replacement linked to ~37% one-year mortality, driven by advanced age and high ASA scores.

  • P<0.001
  • n=443

Why the study?

Hip fracture surgeries are increasing with an aging population, and the study aimed to investigate the relationship between mortality, morbidity, and potential risk factors in patients aged 65 years or older undergoing partial hip prosthesis.

What are the risk factors affecting mortality in patients aged 65 years or older who underwent partial hip prosthesis due to hip fracture?

Population

443 patients aged 65 and above undergoing partial hip prosthesis for fractured hips

Comparison

Risk factors associated with mortality

Design

Retrospective study

Follow-up

first year

Authors

SKSeyran KılınçÖPÖzhan Pazarcı

Discussion

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Overview

Elevated one-year mortality after partial hip replacement in elderly patients, markedly higher at age ≥80 or ASA 3-4; hypothesis-generating for targeted interventions.

Study Design

Type

Cohort (n=443)

Structured PICO

What are the risk factors affecting mortality in patients aged 65 years or older who underwent partial hip prosthesis due to hip fracture?

P
Population
443 patients aged 65 and older who underwent partial hip prosthesis for fractured hips, retrospectively investigated to identify risk factors for mortality.
E
Exposure
Partial hip prosthesis (cemented hemiarthroplasty) due to hip fracture
O
Outcome
Mortality (including one-year mortality and time to mortality)hard clinical

Main Result

p-value: p=<0.001

In patients aged 65 and older undergoing partial hip replacement for hip fracture, age over 80, higher ASA scores (3-4), and longer hospital stays are significantly associated with increased one-year mortality.

Cite This Study

Kılınç et al. (2020) conducted a cohort in Hip fracture requiring partial hip prosthesis (n=443). Advanced age (≥80 years) and high ASA score (3-4) vs. Age <80 years and ASA score 1-2 was evaluated on Mortality within the first year (p=<0.001). In patients aged ≥65 undergoing partial hip replacement, one-year mortality was 36.6% and was significantly higher in patients aged ≥80 years and those with ASA scores of 3-4 (p<0.001).

synapsesocial.com/papers/6aa42916aaaedccdac74a94bhttps://doi.org/10.1016/j.jor.2020.03.031
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Risk factors affecting mortality and patient survival in patients above 60 years undergoing hemiarthroplasty due to hip fracture2022 · 1 citations
  2. 2Hip fractures in patients older than 75 years old: Retrospective analysis for prognostic factors2015 · 46 citations
  3. 3Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture2020 · 33 citations
  4. 4Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study2021 · 16 citations
  5. 5Postoperative Mortality after Hip Fracture Surgery: A 3 Years Follow Up2016 · 101 citations