HIP FRACTURES TREATED WITH HEMIARTHROPLASTY: INDICATORS OF MORTALITY IN PATIENTS OLDER THAN 85 YEARS

HEMİARTROPLASTİ İLE TEDAVİ EDİLMİŞ 85 YAŞ ÜSTÜ HASTALARDAKİ KALÇA KIRIKLARINDA MORTALİTE GÖSTERGELERİ

Mesut TAHTA,Tahir ÖZTÜRK,Cem ÖZCAN,TUĞRUL BULUT,EYUP ÇAĞATAY ZENGİN,Muhittin ŞENER

Abstract

OBJECTIVE: The aim of this study was to determine the preoperative risk factors of all-cause mortality in the small but very challenging group of hip fracture patients aged over 85 years. MATERIALS AND METHODS: Data was gathered retrospectively on patients aged over 85 years with a diagnosis of hip fracture. Subsequent survival was determined. The date of death was recorded (If present). The selected patients were separated into 2 groups: Group1 who had died within 1 year (n=46) and group2 who had survived (n=83).The two groups were compared in respect of age, gender, operating time, the time from initial trauma to surgery, total hospitalization duration, American Society of Anesthesiologists score, cardiac ejection fraction, type of fracture, application of cemented or uncemented prosthesis and number of comorbid diseases. RESULTS: The mean age of the patients in Group 1 was determined to be significantly higher (p=0.011). The rate of male mortality was significantly higher (p=0.047). The rate of mortality of patients with cemented hemiarthroplasty was significantly higher (p=0.038). No difference was determined between the groups in respect of mean ASA scores (p=0.352), total hospitalization duration (p=0.120),the time from trauma to surgery (p=0.531) or ejection fraction (p=0.484). No significance was determined between the groups in respect of the presence and number of comorbid diseases. CONCLUSIONS: The mortality rate of older male patients aged over 85 years with cemented prosthesis applied for hip fracture was higher. As the only parameter, which can be modified, uncemented systems, should be selected, if possible for the prosthesis to be used.

Özet

AMAÇ: Bu çalışmada ortopedik cerrahlar açısından zorlayıcı bir popülasyon olan 85 yaş üstündeki hastalardaki kalça kırığı olgularında, mortalite riskinin tespiti için preoperatif risk faktörlerinin belirlenmesi amaçlanmıştır.