SURVIVAL OF NONAGENARIAN PATIENTS WITH HIP FRACTURES: A COHORT STUDY
ABSTRACT Objective: The objective of this study was to assess survival and factors that may influence survival in nonagenarians with hip fracture. Methods: We retrospectively analyzed 134 nonagenarian patients admitted for hip fractures over a period of 9 years, and reviewed medical records and survival data from the National Population Register. The analysis included demographic data, ASA score, surgical delay, type of treatment, and mortality. Results: Mean patient age was 92.53 years (range 90-103 years). Of the total, 35.8% of the fractures involved the femoral neck and 64.2% were in the trochanteric region. Overall mortality was 18.7% at 30 days, and 9% at one year. Mean survival for the entire sample was 683±78.1 days, with a median of 339 days; survival in men and women was 595±136.8 days and 734±94.6 days, respectively. We found that type of fracture (p=0.026) and ASA score (p=0.004) were the main factors influencing survival. Kaplan-Meier survival analysis indicated that patients with extracapsular fractures treated by internal fixation had a better survival rate (p=0.047). There was no significant differences between sexes (p = 0.102) or diagnosis (p = 0.537) Conclusion: Although nonagenarian patients have numerous comorbidities, surgical treatment using internal fixation seems superior to a conservative approach. Level of Evidence III, Retrospective Comparative Study..
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2017 |
---|---|
Erschienen: |
2017 |
Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
---|---|
Enthalten in: |
Acta Ortopédica Brasileira - 25(2017), 4, Seite 132-136 |
Sprache: |
Englisch ; Portugiesisch |
---|
Beteiligte Personen: |
Alexa Ovidiu [VerfasserIn] |
---|
Links: |
doi.org [kostenfrei] |
---|
Themen: |
Aged, 80 and over |
---|
doi: |
10.1590/1413-785220172504167561 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
DOAJ012459208 |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | DOAJ012459208 | ||
003 | DE-627 | ||
005 | 20230501192929.0 | ||
007 | cr uuu---uuuuu | ||
008 | 230225s2017 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1590/1413-785220172504167561 |2 doi | |
035 | |a (DE-627)DOAJ012459208 | ||
035 | |a (DE-599)DOAJ355c54e075704ce3980545c97f65e20c | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng |a por | ||
050 | 0 | |a RD701-811 | |
100 | 0 | |a Alexa Ovidiu |e verfasserin |4 aut | |
245 | 1 | 0 | |a SURVIVAL OF NONAGENARIAN PATIENTS WITH HIP FRACTURES: A COHORT STUDY |
264 | 1 | |c 2017 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a Computermedien |b c |2 rdamedia | ||
338 | |a Online-Ressource |b cr |2 rdacarrier | ||
520 | |a ABSTRACT Objective: The objective of this study was to assess survival and factors that may influence survival in nonagenarians with hip fracture. Methods: We retrospectively analyzed 134 nonagenarian patients admitted for hip fractures over a period of 9 years, and reviewed medical records and survival data from the National Population Register. The analysis included demographic data, ASA score, surgical delay, type of treatment, and mortality. Results: Mean patient age was 92.53 years (range 90-103 years). Of the total, 35.8% of the fractures involved the femoral neck and 64.2% were in the trochanteric region. Overall mortality was 18.7% at 30 days, and 9% at one year. Mean survival for the entire sample was 683±78.1 days, with a median of 339 days; survival in men and women was 595±136.8 days and 734±94.6 days, respectively. We found that type of fracture (p=0.026) and ASA score (p=0.004) were the main factors influencing survival. Kaplan-Meier survival analysis indicated that patients with extracapsular fractures treated by internal fixation had a better survival rate (p=0.047). There was no significant differences between sexes (p = 0.102) or diagnosis (p = 0.537) Conclusion: Although nonagenarian patients have numerous comorbidities, surgical treatment using internal fixation seems superior to a conservative approach. Level of Evidence III, Retrospective Comparative Study. | ||
650 | 4 | |a Hip fractures | |
650 | 4 | |a Femoral neck fractures | |
650 | 4 | |a Aged, 80 and over | |
650 | 4 | |a Survival analysis | |
653 | 0 | |a Medicine | |
653 | 0 | |a R | |
653 | 0 | |a Orthopedic surgery | |
700 | 0 | |a Gheorghevici Teodor Stefan |e verfasserin |4 aut | |
700 | 0 | |a Popescu Dragos |e verfasserin |4 aut | |
700 | 0 | |a Veliceasa Bogdan |e verfasserin |4 aut | |
700 | 0 | |a Alexa Ioana Dana |e verfasserin |4 aut | |
773 | 0 | 8 | |i In |t Acta Ortopédica Brasileira |d Sociedade Brasileira de Ortopedia e Traumatologia, 2004 |g 25(2017), 4, Seite 132-136 |w (DE-627)DOAJ000108820 |x 14137852 |7 nnns |
773 | 1 | 8 | |g volume:25 |g year:2017 |g number:4 |g pages:132-136 |
856 | 4 | 0 | |u https://doi.org/10.1590/1413-785220172504167561 |z kostenfrei |
856 | 4 | 0 | |u https://doaj.org/article/355c54e075704ce3980545c97f65e20c |z kostenfrei |
856 | 4 | 0 | |u http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522017000400132&tlng=en |z kostenfrei |
856 | 4 | 0 | |u http://www.scielo.br/pdf/aob/v25n4/1413-7852-aob-25-04-00132.pdf |z kostenfrei |
856 | 4 | 2 | |u https://doaj.org/toc/1413-7852 |y Journal toc |z kostenfrei |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_DOAJ | ||
912 | |a SSG-OLC-PHA | ||
951 | |a AR | ||
952 | |d 25 |j 2017 |e 4 |h 132-136 |