Risk factors affecting mortality and patient survival in patients above 60 years undergoing hemiarthroplasty due to hip fracture

Authors : Kemal Çağlar DURAN, Recep DİNÇER, Tolga ATAY, Vecihi KIRDEMİR

Pages : 369-375

View : 55 | Download : 10

Publication Date : 2022-03-18

Article Type : Research Paper

Abstract :Objective: The aim of this study was to retrospectively determine the risk factors affecting mortality and survival after partial prosthesis treatment of proximal femoral fractures in elderly patients. Patients and Methots: In this study, patients aged 60 years and over who underwent hemiarthroplasty with the diagnosis of proximal fracture of the femur between 2013 and 2016 were evaluated retrospectively. Those who do not have adequate imaging and cannot be reached by telephone were not included in the study. 94 patients insert ignore into journalissuearticles values(58 females and 36 males); were included in the study. Age, gender, fracture type and side, Garden and Evans Scores, Singh Index, ASA values, additional diseases, when they were operated after falling, stem type used, anesthesia methods, hospitalization periods, survivors Harris hip scores, UCLA scores, Barthel Index and VAS scores a total of 17 parameters were evaluated. Results: The mean age of the patients was 80.5 insert ignore into journalissuearticles values(± 6.85);; The mean age of the male patients was 78.6 insert ignore into journalissuearticles values(± 7.51); and the mean age of the female sex was 81.7 insert ignore into journalissuearticles values(± 6.16);. When the fracture types of the cases were examined, it was seen that 58 patients insert ignore into journalissuearticles values(61%); had intertrochanteric and 36 patients insert ignore into journalissuearticles values(39%); had collum femoris fracture. The mean time from the day of fracture to operation was calculated as 5.61 insert ignore into journalissuearticles values(± 11.00);. Hypertension, diabetes, and coronary artery diseases were the most common diseases. Sixty-four out of 94 patients died, and 30 were still alive during our study. It was seen that 11 of the patients died in the first month, 11 of them died between 1-6 months postoperatively, 4 of them died between 6-12 months, 15 of them died between 12-24 months, 23 of them died between 24-60 months. It was seen that 93% insert ignore into journalissuearticles values(n = 28); of the patients still alive were operated on in the first 5 days after fracture. Conclusion: Hip fractures are a serious cause of mortality and morbidity in the elderly. Physical and mental capacity of the patients before fracture is one of the most important predictors of postoperative mortality and morbidity. The rehabilitation process of patients who use a large number of drugs due to additional diseases and have a short life expectancy is more difficult than other patients. The main goal is to return patients to their daily lives in the shortest possible time. ASA values and comorbidities were found to be important in postoperative mortality.
Keywords : Aged, comorbidity, hip fractures, mortality, osteoporosis, complications, prognosis, quality of life, risk factors

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