Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures

oguz, salih; AKKOYUN, Zübeyir; inan, ulukan; Kavak, Mustafa

doi:10.5152/j.aott.2022.21407

Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures

Mustafa Kavak, (Osmangazi Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Eskişehir, Türkiye)

salih oguz, (Osmangazi Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Eskişehir, Türkiye)

Zübeyir Akkoyun, (Osmangazi Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Eskişehir, Türkiye)

Ulukan İnan (Osmangazi Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Eskişehir, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

2 0

Yıl: 2022 Cilt: 56 Sayı: 4 Sayfa Aralığı: 240 - 244 Metin Dili: Türkçe DOI: 10.5152/j.aott.2022.21407 İndeks Tarihi: 26-09-2022

Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures

Öz:

Objective: This study aimed to determine the predictive factors affecting the 30-day mortality in geriatric hip fractures, investigate the effect of the timing of surgery, and thus determine the optimum cut-off time in delaying the surgery. Methods: A total of 596 patients(205 men, 391 women; mean age = 78.3 years) were included in this retrospective study. All possible pre- dictive factors encountered in the literature review, including age, sex, fracture type, comorbidities, American Society of Anesthesiologists (ASA) score, surgical delay time, anaesthesia type, surgery type, need for erythrocyte replacement, postoperative complications, and the need for postoperative intensive care were analyzed. The predictive factors that were found to be significant as a result of the univariate analysis were included in the multivariate logistic regression analysis. Results: The reason for surgery was an extracapsular fracture in 359 patients (60.2%) and an intracapsular fracture in 237 (39.8%). Arthroplasty was performed in 256 patients (43%), while proximal femoral nails were used in 251 (42.1%), dynamic hips screws in 68 (11.4%), and cannulated screws in 21 (3.5%). 523 (87.8%) of the patients had an ASA score of 1 or 2, and 73 (12.2%) had an ASA score of 3 or 4. General anaesthesia was performed on 35.2% of the patients, while regional anaesthesia was administered to 64.8%. Major complications developed in 42 patients (7%), while minor complications were observed in 143 (24%). The mean surgical delay time was 3.21 days (1-9 days). The ASA score (P < 0.001, OR: 56.83, CI: 5.26-2.820), anesthesia type (P = 0.036, OR: 3.225, CI: 0.079-2.264), surgi- cal delay time (P < 0.001, OR: 2.006, CI: 1.02-0.372) and major complication (P = 0.002, OR: 6.41, CI: 0.661-3.053) were determined to be predictive factors of 30-day mortality. Conclusion: This study found the median surgical delay time as three days in surviving patients and five days in deceased ones. Thus, a 3-day surgical delay may be acceptable and sufficient for medical optimization and the consensus of the multidisciplinary team.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	Kavak M, oguz s, AKKOYUN Z, inan u (2022). Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. , 240 - 244. 10.5152/j.aott.2022.21407
Chicago	Kavak Mustafa,oguz salih,AKKOYUN Zübeyir,inan ulukan Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. (2022): 240 - 244. 10.5152/j.aott.2022.21407
MLA	Kavak Mustafa,oguz salih,AKKOYUN Zübeyir,inan ulukan Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. , 2022, ss.240 - 244. 10.5152/j.aott.2022.21407
AMA	Kavak M,oguz s,AKKOYUN Z,inan u Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. . 2022; 240 - 244. 10.5152/j.aott.2022.21407
Vancouver	Kavak M,oguz s,AKKOYUN Z,inan u Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. . 2022; 240 - 244. 10.5152/j.aott.2022.21407
IEEE	Kavak M,oguz s,AKKOYUN Z,inan u "Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures." , ss.240 - 244, 2022. 10.5152/j.aott.2022.21407
ISNAD	Kavak, Mustafa vd. "Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures". (2022), 240-244. https://doi.org/10.5152/j.aott.2022.21407

APA	Kavak M, oguz s, AKKOYUN Z, inan u (2022). Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. Acta Orthopaedica et Traumatologica Turcica, 56(4), 240 - 244. 10.5152/j.aott.2022.21407
Chicago	Kavak Mustafa,oguz salih,AKKOYUN Zübeyir,inan ulukan Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. Acta Orthopaedica et Traumatologica Turcica 56, no.4 (2022): 240 - 244. 10.5152/j.aott.2022.21407
MLA	Kavak Mustafa,oguz salih,AKKOYUN Zübeyir,inan ulukan Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. Acta Orthopaedica et Traumatologica Turcica, vol.56, no.4, 2022, ss.240 - 244. 10.5152/j.aott.2022.21407
AMA	Kavak M,oguz s,AKKOYUN Z,inan u Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. Acta Orthopaedica et Traumatologica Turcica. 2022; 56(4): 240 - 244. 10.5152/j.aott.2022.21407
Vancouver	Kavak M,oguz s,AKKOYUN Z,inan u Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures. Acta Orthopaedica et Traumatologica Turcica. 2022; 56(4): 240 - 244. 10.5152/j.aott.2022.21407
IEEE	Kavak M,oguz s,AKKOYUN Z,inan u "Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures." Acta Orthopaedica et Traumatologica Turcica, 56, ss.240 - 244, 2022. 10.5152/j.aott.2022.21407
ISNAD	Kavak, Mustafa vd. "Predictive factors associated with thirty-day mortality in geriatric patients with hip fractures". Acta Orthopaedica et Traumatologica Turcica 56/4 (2022), 240-244. https://doi.org/10.5152/j.aott.2022.21407