Concomitant fractures in patients with proximal femoral fractures lead to a prolonged hospital stay but not to increased complication rates or in-house mortality if treated surgically: a matched pair analysis

Background Impact of concomitant fractures on patients sustaining a proximal femur fracture remains unclear. Rising numbers and patient need for rehab is an important issue. The objective of our study was to investigate the impact of concomitant fractures, including all types of fractures, when trea...

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Bibliographic Details
Published in:Aging clinical and experimental research 2023-03, Vol.35 (3), p.607-614
Main Authors: Fenwick, Annabel, Pfann, Michael, Mayr, Jakob, Antonovska, Iana, Von der Helm, Franziska, Nuber, Stefan, Förch, Stefan, Mayr, Edgar
Format: Article
Language:English
Subjects:
Aged, 80 and over
Femoral Fractures - complications
Femoral Fractures - surgery
Fractures
Geriatrics/Gerontology
Hip Fractures - complications
Hip Fractures - surgery
Hospital Mortality
Humans
Length of Stay
Matched-Pair Analysis
Medicine
Medicine & Public Health
Mortality
Original
Original Article
Osteoporotic Fractures
Patients
Proximal Femoral Fractures
Retrospective Studies
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Summary:Background Impact of concomitant fractures on patients sustaining a proximal femur fracture remains unclear. Rising numbers and patient need for rehab is an important issue. The objective of our study was to investigate the impact of concomitant fractures, including all types of fractures, when treated operatively, for proximal femur fractures on the length of hospital stay, in-house mortality and complication rate. Methods Observational retrospective cohort single-center study including 85 of 1933 patients (4.4%) with a mean age of 80.5 years, who were operatively treated for a proximal femoral and a concomitant fracture between January 2016 and June 2020. A matched pair analysis based on age, sex, fracture type and anticoagulants was performed. Patient data, length of hospital stay, complications and mortality were evaluated. Results The most common fractures were osteoporosis-associated fractures of the distal forearm ( n  = 34) and the proximal humerus ( n  = 36). The group of concomitant fractures showed a higher CCI than the control group (5.87 vs. 5.7 points; p  
ISSN:1720-8319
1594-0667
1720-8319
DOI:10.1007/s40520-023-02348-4