Yıl: 2020 Cilt: 54 Sayı: 2 Sayfa Aralığı: 138 - 143 Metin Dili: İngilizce DOI: 10.5152/j.aott.2020.02.298 İndeks Tarihi: 27-10-2020

Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture

Öz:
Objective: The aim of this study was to analyze the relationship between mortality and possible risk factors in elderly patients surgically treated with hemiarthroplasty for hip fracture and to determine mortality rates and yearly survival outcome in a selected cohort.Methods: A total of 92 patients (51 men (55.4%) and 41 women (44.6%); mean age: 76.47 years) who underwent hemiarthroplasty for hipfracture were included into the study. The following data associated with risk factors were recorded for 92 patients: age, gender, pre-fractureactivities of daily living (ADL), type of fracture, American Society of Anesthesiologists (ASA) score, therapeutic procedure, type of anesthesia, length of time after fracture until operation, postoperative mobility, and duration of hospitalization. A multivariate logistic regressiontest was used to evaluate the correlation between the risk factors and first- and second-year mortality rates. Third-year mortality rate aftersurgery was analyzed and compared with the general mortality rate in a similar population of the same age group living in the same city.Results: The mortality rate was 18.5% (17 patients) after the first-year follow-up and 25% (23 patients) after the second year. The mortality risk after hip fracture was found to be 11.7 times greater than the similar age group population in the third year. In addition, there wasa significant relationship between a low (dependent) preoperative ADL score, advanced age (>80 years), male gender, high ASA scoreand poor ability to walk (unable to walk), and first- and second-year mortalities (p<0.05). However, no significant relationship was foundbetween fracture type, fracture side, anesthesia type, time from fracture to surgery, or duration of hospitalization and mortality (p>0.05).Conclusion: Advanced age, male gender, a high ASA score, a dependent preoperative ADL score, and a postoperative inability to walkwere determined to be the most important risk factors affecting mortality in elderly patients with hip fracture. The mortality risk was11.7 times greater than that of a population with similar characteristics.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
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APA Aslan A, Atay T, Aydogan N (2020). Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. , 138 - 143. 10.5152/j.aott.2020.02.298
Chicago Aslan Ahmet,Atay Tolga,Aydogan Nevres Hurriyet Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. (2020): 138 - 143. 10.5152/j.aott.2020.02.298
MLA Aslan Ahmet,Atay Tolga,Aydogan Nevres Hurriyet Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. , 2020, ss.138 - 143. 10.5152/j.aott.2020.02.298
AMA Aslan A,Atay T,Aydogan N Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. . 2020; 138 - 143. 10.5152/j.aott.2020.02.298
Vancouver Aslan A,Atay T,Aydogan N Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. . 2020; 138 - 143. 10.5152/j.aott.2020.02.298
IEEE Aslan A,Atay T,Aydogan N "Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture." , ss.138 - 143, 2020. 10.5152/j.aott.2020.02.298
ISNAD Aslan, Ahmet vd. "Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture". (2020), 138-143. https://doi.org/10.5152/j.aott.2020.02.298
APA Aslan A, Atay T, Aydogan N (2020). Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. Acta Orthopaedica et Traumatologica Turcica, 54(2), 138 - 143. 10.5152/j.aott.2020.02.298
Chicago Aslan Ahmet,Atay Tolga,Aydogan Nevres Hurriyet Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. Acta Orthopaedica et Traumatologica Turcica 54, no.2 (2020): 138 - 143. 10.5152/j.aott.2020.02.298
MLA Aslan Ahmet,Atay Tolga,Aydogan Nevres Hurriyet Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. Acta Orthopaedica et Traumatologica Turcica, vol.54, no.2, 2020, ss.138 - 143. 10.5152/j.aott.2020.02.298
AMA Aslan A,Atay T,Aydogan N Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(2): 138 - 143. 10.5152/j.aott.2020.02.298
Vancouver Aslan A,Atay T,Aydogan N Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(2): 138 - 143. 10.5152/j.aott.2020.02.298
IEEE Aslan A,Atay T,Aydogan N "Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture." Acta Orthopaedica et Traumatologica Turcica, 54, ss.138 - 143, 2020. 10.5152/j.aott.2020.02.298
ISNAD Aslan, Ahmet vd. "Risk factors for mortality and survival rates in elderly patients undergoing hemiarthroplasty for hip fracture". Acta Orthopaedica et Traumatologica Turcica 54/2 (2020), 138-143. https://doi.org/10.5152/j.aott.2020.02.298