Factors That Affect Mortality Rates in Elderly Hip Fracture Patients

Introduction: Hip fractures are primarily seen in elderly patients.Older age and accompanying diseases leads to negative outcomes in this patient group.More than 320,000 cases of hip fractures are diagnosed every year in the U.S.A and there is a mortality rate of 14-36% in the first year after surgery.The aim of our research was to study factors that affect mortality.Methods: For this purpose, 115 patients over the age of 65 who received hip fracture operations in our clinic were evaluated.Patients with hip fractures due to traffic accidents or from falling down from heights and pathological fractures were excluded.Results: It was observed that the age at the time of fracture, 2 or more days of suspended time before the operation, high values of ASA score, an intensive care unit stay, used anaesthesia type and presence of accompanying diseases in the single-variable model were significant risk factors for patients in terms of mortality (p ˂ 0.05).The age at the time of fracture and 2 or more days of suspending time before operation were found to be significant independent variables in terms of mortality (p ˂ 0.05) Conclusion: We assume that multi-disciplinary geriatric care will positively affect post-fracture results and probably reduce treatment costs.According to data collected from our study, the age of patients and two or more suspended days before the operation were significant independent risk factors in terms of mortality.