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March 18, 2022Journal of Experimental and Clinical MedicineOpen Access

Hemiarthroplasty within five days is associated with longer survival in elderly patients despite multiple comorbidities.

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Why the study?

The study was designed to retrospectively determine the risk factors affecting mortality and survival after partial prosthesis treatment of proximal femoral fractures in elderly patients.

What are the risk factors affecting mortality and survival in patients aged 60 years and over undergoing hemiarthroplasty for proximal femoral fractures?

Population

94 patients aged 60 years and over undergoing hemiarthroplasty for proximal femur fracture

Design

Retrospective study

Key result

Higher ASA scores and multiple comorbidities significantly decreased survival time (p=0.000), while surgery within the first 5 days positively affected survival (p=0.018) in elderly patients.

Authors

KDKemal Çağlar DURANRDRecep DinçerTATolga Atay

Discussion

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Member takes

Overview

May support early surgery in lower-ASA elderly patients; leaves open need for prospective confirmation before practice change.

Study Design

Type

Observational (n=94)

Multicenter

No

Structured PICO

What are the risk factors affecting mortality and survival in patients aged 60 years and over undergoing hemiarthroplasty for proximal femoral fractures?

P
Population
94 patients aged 60 years and older who underwent hemiarthroplasty for proximal femoral fractures, evaluated retrospectively for risk factors affecting mortality and survival.
E
Exposure
Hemiarthroplasty
O
Outcome
Mortality and survivalhard clinical

Main Result

p-value: p=0.000

In elderly patients undergoing hemiarthroplasty for hip fracture, ASA values, comorbidities, and early surgery (within 5 days) are important predictors of postoperative mortality and survival.

Limitations

  • Retrospective design
  • Small sample size
  • Single-center study

Cite This Study

DURAN et al. (2022) conducted an observational in Proximal femoral fracture (hip fracture) (n=94). Risk factors (ASA score, comorbidities, time to surgery) vs. Lower risk factors (lower ASA score, fewer comorbidities, early surgery) was evaluated on Mortality and survival time (p=0.000). Higher ASA scores and multiple comorbidities significantly decreased survival time (p=0.000), while surgery within the first 5 days positively affected survival (p=0.018) in elderly patients.

synapsesocial.com/papers/6aaa29fadbbe423095481e79https://doi.org/10.52142/omujecm.39.2.12
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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 for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture2020 · 33 citations
  2. 2Investigating the risk factors that affect mortality after cemented hemiarthroplasty in advanced age patients2020 · 4 citations
  3. 3Hip fractures in patients older than 75 years old: Retrospective analysis for prognostic factors2015 · 46 citations
  4. 4Six-month Mortality and Functional Outcomes after Hemiarthroplasty for Femoral Neck Fractures in Elderly Patients: A Prospective Cohort Study2026
  5. 5Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study2021 · 16 citations