Key result
Partial hip replacement linked to ~37% one-year mortality, driven by advanced age and high ASA scores.
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?
Cohort (n=443)
What are the risk factors affecting mortality in patients aged 65 years or older who underwent partial hip prosthesis due to hip fracture?
Answers are grounded in this paper and cite their sources.
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.
BACKGROUND & AIMS: The number of hip fracture surgeries exhibit an increasing trend due to the aging of the world's population and it is expected to become a serious public health problem in the future. This study aimed to investigate the relationship between mortality and morbidity in patients aged 65 years or older who underwent partial hip prosthesis due to hip fracture. METHODS: Four-hundred and forty-three patients aged 65 and above who underwent partial hip prosthesis for fractured hips between 2007 and 2014 were retrospectively investigated. The age before surgery, gender, type of fracture, additional diseases, ASA scores of the patients and time to mortality were investigated in addition to the factors that affect mortality. RESULTS: Of the 443 patients in the study, 167 were males and 276 were females, with an average age of 80.5 ± 7.2 and 81.1 ± 7.0 years, respectively. One hundred and sixty-two (36.57%) of these patients died within the first year. When the patients were investigated according to age groups, there was a significant relationship between mortality after surgery and patients aged 80 years and above. No statistically significant relationship was found between the time to surgery and mortality. When compared in terms of ASA scores, it was concluded mortality in ASA 3 and 4 groups was significantly higher than ASA 1 and 2 groups (p < 0.001). When hospital stay and one-year mortality rates were compared, it was seen that the length of hospital stay of the patients who died in the first year was significantly higher. CONCLUSIONS: In patients who underwent partial hip replacement after hip fracture, there was a significant relationship between mortality, long hospital stay, patients with an ASA score of 3-4, and patients aged 80 years and above, whereas no relationship was detected with time to surgery.
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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).
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