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Journals / Hitit Medical Journal / 2026 / Cilt: 8 Sayı: 2

Prognostic Factors Associated with Survival Following Hip Fracture Surgery in Elderly Patients

Geriatrik Hastalarda Kalça Kırığı Cerrahisi Sonrası Sağkalım ile İlişkili Prognostik Faktörler

Tolgahan Korkmaz(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL BAŞAKŞEHİR ÇAM VE SAKURA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI)0009-0005-7882-5971
Abdullah Yener İnce(Maslak Acıbadem Hastanesi)0000-0002-6308-1210
Pages
320–328
Publication Date
2026-06-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Overall survival was analyzed using the Kaplan–Meier method and multivariable Cox proportional hazards regression.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aimed to identify clinical and laboratory factors associated with survival in elderly patients undergoing hip fracture surgery.
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Key Findings & Data:Methods: Eighty-five patients aged ≥65 years who underwent surgical treatment for intertrochanteric or femoral neck fractures between January 2021 and December 2022 were included.
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Conclusion & Impact:Overall survival was analyzed using the Kaplan–Meier method and multivariable Cox proportional hazards regression.
🔬Design:Araştırma Makalesi
📍Scope:2021 Verileri
⚙️Variables:Geriatri · Kalça kırığı · Prognoz

Abstract

Objective: This study aimed to identify clinical and laboratory factors associated with survival in elderly patients undergoing hip fracture surgery. Methods: Eighty-five patients aged ≥65 years who underwent surgical treatment for intertrochanteric or femoral neck fractures between January 2021 and December 2022 were included. Clinical and laboratory data were retrospectively collected. Overall survival was analyzed using the Kaplan–Meier method and multivariable Cox proportional hazards regression. ROC analysis was used to determine optimal cut-off values. A p value 27.5 mg/L) and age >80 years remained independently associated with poorer survival. Subgroup analysis showed that among patients with ASA I–II, a delay to surgery longer than 8 days was associated with significantly worse survival. Conclusion: Elevated preoperative CRP levels and advanced age were found to be associated with survival after hip fracture surgery. Early surgical intervention may have more favorable effects on survival in patients with better preoperative physical performance.

Özet

Amaç: Bu çalışmanın amacı, kalça kırığı nedeniyle cerrahi tedavi uygulanan yaşlı hastalarda sağkalım ile ilişkili klinik ve laboratuvar faktörlerini belirlemektir. Gereç ve Yöntem: Ocak 2021–Aralık 2022 tarihleri arasında intertrokkanterik femur kırığı veya femur boyun kırığı nedeniyle cerrahi tedavi uygulanan, ≥65 yaşındaki 85 hasta çalışmaya dahil edildi. Klinik ve laboratuvar verileri retrospektif olarak toplandı. Genel sağkalım Kaplan–Meier yöntemi ve çok değişkenli Cox orantısal risk regresyon analizi ile değerlendirildi. Eşik değerlerini belirlemek için ROC analizi kullanıldı. İstatistiksel anlamlılık p 27,5 mg/L) ve >80 yaş sağkalım ile bağımsız olarak ilişkiliydi. Alt grup analizinde, ASA I–II hastalarda cerrahiye 8 günden uzun sürede girilmesinin anlamlı derecede daha kötü sağkalım ile ilişkili olduğu gösterildi. Sonuç: Yüksek preoperatif CRP düzeyi ve ileri yaşın, kalça kırığı cerrahisi sonrası sağkalım ile ilişkili olduğu saptanmıştır. Erken cerrahi girişimin, preoperatif fiziksel performansı daha iyi olan hastalarda sağkalım üzerine daha olumlu etkiler gösterebileceği söylenebilir.

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Cite This Article

Korkmaz, T., İnce, A. Y. (2026). Prognostic Factors Associated with Survival Following Hip Fracture Surgery in Elderly Patients. Hitit Medical Journal, Cilt: 8 Sayı: 2, 320–328. https://doi.org/10.52827/hititmedj.1862158

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