Short-term outcomes of hip fractures in patients aged 90 years old and over receiving surgical intervention

The knowledge about short-term outcomes of nonagenarians undergoing surgery for hip fracture in Asian is limited. The patients with hip fractures who underwent hip hemiarthroplasty and open reduction with internal fixation (ORIF) for management during the period from 2008 to 2012 were identified and...

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Published in:PloS one 2015-05, Vol.10 (5), p.e0125496-e0125496
Main Authors: Lin, Wei-Ting, Chao, Chien-Ming, Liu, Hsuan-Chih, Li, Yi-Ju, Lee, Wei-Jing, Lai, Chih-Cheng
Format: Article
Language:English
Subjects:
Activities of daily living
Aged, 80 and over
Analysis
Care and treatment
Confidence intervals
Elderly
End-stage renal disease
Female
Femur
Fractures
Health aspects
Hemiarthroplasty
Hip
Hip fractures
Hip Fractures - surgery
Hip joint
Humans
Joint surgery
Kidney diseases
Kidney transplantation
Male
Management
Medical records
Mortality
Multivariate Analysis
Neck
Patient outcomes
Patients
Retrospective Studies
Surgery
Treatment Outcome
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Chao, Chien-Ming
Liu, Hsuan-Chih
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Lee, Wei-Jing
Lai, Chih-Cheng
description The knowledge about short-term outcomes of nonagenarians undergoing surgery for hip fracture in Asian is limited. The patients with hip fractures who underwent hip hemiarthroplasty and open reduction with internal fixation (ORIF) for management during the period from 2008 to 2012 were identified and their medical record was retrospectively reviewed. During the study period, a total of 101 patients underwent surgery for management of hip fractures, and the age of patients ranged from 90 to 96 years. The sites of hip fracture were intertrochanteric (n = 57, 56.4%) and the neck of the femur (n = 44, 43.6%). Most of the patients had American Society of Anesthesiologists scores of 3(n = 55) or 4 (in 44 patients). 80.2% (n = 81) underwent the operation within one day after admission; however, there were 13 patients (12.9%) that underwent surgery 48 or more hours later. ORIF and hemiarthroplasty were performed for 63 (62.4%) and 38 (37.6%) patients, respectively. Overall, the 30-day and 1-year mortality rates were 9.9% (10/101) and 17.3% (13/75), respectively. Multivariate analysis showed that the 30-day mortality was significantly associated only with end-stage renal disease (ESRD) (Odds ratio, 11.13, 95% confidence interval, 1.275-97.881, P = .029). The short-term outcome of surgical management for Asian nonagenarians with hip fractures is favorable in selected patients.
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The patients with hip fractures who underwent hip hemiarthroplasty and open reduction with internal fixation (ORIF) for management during the period from 2008 to 2012 were identified and their medical record was retrospectively reviewed. During the study period, a total of 101 patients underwent surgery for management of hip fractures, and the age of patients ranged from 90 to 96 years. The sites of hip fracture were intertrochanteric (n = 57, 56.4%) and the neck of the femur (n = 44, 43.6%). Most of the patients had American Society of Anesthesiologists scores of 3(n = 55) or 4 (in 44 patients). 80.2% (n = 81) underwent the operation within one day after admission; however, there were 13 patients (12.9%) that underwent surgery 48 or more hours later. ORIF and hemiarthroplasty were performed for 63 (62.4%) and 38 (37.6%) patients, respectively. Overall, the 30-day and 1-year mortality rates were 9.9% (10/101) and 17.3% (13/75), respectively. Multivariate analysis showed that the 30-day mortality was significantly associated only with end-stage renal disease (ESRD) (Odds ratio, 11.13, 95% confidence interval, 1.275-97.881, P = .029). 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The patients with hip fractures who underwent hip hemiarthroplasty and open reduction with internal fixation (ORIF) for management during the period from 2008 to 2012 were identified and their medical record was retrospectively reviewed. During the study period, a total of 101 patients underwent surgery for management of hip fractures, and the age of patients ranged from 90 to 96 years. The sites of hip fracture were intertrochanteric (n = 57, 56.4%) and the neck of the femur (n = 44, 43.6%). Most of the patients had American Society of Anesthesiologists scores of 3(n = 55) or 4 (in 44 patients). 80.2% (n = 81) underwent the operation within one day after admission; however, there were 13 patients (12.9%) that underwent surgery 48 or more hours later. ORIF and hemiarthroplasty were performed for 63 (62.4%) and 38 (37.6%) patients, respectively. Overall, the 30-day and 1-year mortality rates were 9.9% (10/101) and 17.3% (13/75), respectively. 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The patients with hip fractures who underwent hip hemiarthroplasty and open reduction with internal fixation (ORIF) for management during the period from 2008 to 2012 were identified and their medical record was retrospectively reviewed. During the study period, a total of 101 patients underwent surgery for management of hip fractures, and the age of patients ranged from 90 to 96 years. The sites of hip fracture were intertrochanteric (n = 57, 56.4%) and the neck of the femur (n = 44, 43.6%). Most of the patients had American Society of Anesthesiologists scores of 3(n = 55) or 4 (in 44 patients). 80.2% (n = 81) underwent the operation within one day after admission; however, there were 13 patients (12.9%) that underwent surgery 48 or more hours later. ORIF and hemiarthroplasty were performed for 63 (62.4%) and 38 (37.6%) patients, respectively. Overall, the 30-day and 1-year mortality rates were 9.9% (10/101) and 17.3% (13/75), respectively. Multivariate analysis showed that the 30-day mortality was significantly associated only with end-stage renal disease (ESRD) (Odds ratio, 11.13, 95% confidence interval, 1.275-97.881, P = .029). The short-term outcome of surgical management for Asian nonagenarians with hip fractures is favorable in selected patients.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25978368</pmid><doi>10.1371/journal.pone.0125496</doi><oa>free_for_read</oa></addata></record>
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subjects Activities of daily living
Aged, 80 and over
Analysis
Care and treatment
Confidence intervals
Elderly
End-stage renal disease
Female
Femur
Fractures
Health aspects
Hemiarthroplasty
Hip
Hip fractures
Hip Fractures - surgery
Hip joint
Humans
Joint surgery
Kidney diseases
Kidney transplantation
Male
Management
Medical records
Mortality
Multivariate Analysis
Neck
Patient outcomes
Patients
Retrospective Studies
Surgery
Treatment Outcome
title Short-term outcomes of hip fractures in patients aged 90 years old and over receiving surgical intervention
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