Key result
Male sex linked to ~240% higher one-year mortality than women following hip fracture in nonagenarians.
Cohort (n=51)
Absolute Event Rate: 53.4% vs 15.7%
Nonagenarians with hip fractures, particularly men and those with intertrochanteric fractures, face high one-year mortality rates.
May guide risk stratification in nonagenarian hip fracture care; leaves open whether targeted interventions improve outcomes.
OBJECTIVES: Nonagenarians with hip fractures represent a special group of people because of their advanced age and co-morbidities. We evaluated mortality after hip fractures in nonagenarians. METHODS: Fifty-one patients were studied over a 2-year period. There were 39 female and 12 male patients. Twenty seven patients sustained an intertrochanteric fracture of the femur, 24 suffered from femoral neck fracture. The American Society of Anaesthetists (ASA) score of II was the most frequent among 51. Forty-one of them had one or more co-morbidities. Patient review was done 2 years after the fracture. RESULTS: The mortality rate at one year was 53.4% in men, and 15.7% in women. After multivariate analysis, the type of fracture (intertrochanteric fracture) was identified as a risk factor for one-year mortality (P = 0.025). CONCLUSION: The outcome in nonagenarians with hip fractures is poor due to the high rates of mortality, especially in men, and this could be informed to patients and their families before hip fracture surgery.
No takes yet. Share an insight, caveat, or question.
Kang et al. (2012) conducted a cohort in Hip fractures (n=51). Male sex vs. Female sex was evaluated on One-year mortality. In nonagenarians with hip fractures, male sex was associated with a one-year mortality of 53.4% compared to 15.7% in women, and intertrochanteric fracture was identified as a risk factor (P=0.025).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: