Dergiler / Journal of Health Sciences and Medicine / 2022 / Cilt: 5 - Sayı: 6

Evaluation of risk factors and outcomes associated with mortality after hip fracture surgery in eldery patients

Sayfa
1693–1697
Yayın Tarihi
2022-10-25
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Therefore, methods including less invasive procedures should be preferred for the benefit of the patient in the selection of methods in hip fracture treatment.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: In this retrospective study, it was aimed to compare mortality related risk factors and outcomes in patients who underwent proximal femoral nail and partial hip prosthesis for hip fracture.
📊
Temel Bulgular & Veri:Material and Method: In our study, a total of 618 patient files who underwent hip fracture operations, including partial hip replacement (n=350) and proximal femoral nail (n=268) were retrospectively analyzed.
💡
Sonuç & Katkı:Therefore, methods including less invasive procedures should be preferred for the benefit of the patient in the selection of methods in hip fracture treatment.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:hip fracture · mortality · hip replacement

Abstract

Objective: In this retrospective study, it was aimed to compare mortality related risk factors and outcomes in patients who underwent proximal femoral nail and partial hip prosthesis for hip fracture. Material and Method: In our study, a total of 618 patient files who underwent hip fracture operations, including partial hip replacement (n=350) and proximal femoral nail (n=268) were retrospectively analyzed. Age, gender, fracture side, cause, type of fracture, type of operation, blood transfusion, hospital stay, anesthesia type and one-year survival times of the patients were examined. Results: Gender, age, side, mechanism, anesthesia, comorbid diseases, cause of mortality, one-year mortality and survival time differences between patient groups were not statistically significant (p>0.05). However, fracture type, blood transfusion and hospital stay differences between groups were statistically significant (p 0.05). The mean survival time of the hip prosthesis group (144.97±9.83) was greater than the survival time of the proximal femoral nail group (129.72±12.31), but this difference was not statistically significant (p> 0.05). Conclusion: According to the results of the research, both partial hip replacement and proximal femoral nail methods have similar results and mortality level. Therefore, methods including less invasive procedures should be preferred for the benefit of the patient in the selection of methods in hip fracture treatment.

🔖

Bu Makaleye Atıf Yap

İPEK, D., ÇALBIYIK, M., DENİZCİ, T., ALIÇ, T., DÜNDAR, A., ZEHİR, S. (2022). Evaluation of risk factors and outcomes associated with mortality after hip fracture surgery in eldery patients. Journal of Health Sciences and Medicine, Cilt: 5 - Sayı: 6, 1693–1697. https://ajindex.com/articles/776424

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (8)

  1. Boutera A, Dybvik E, Hallan G, Gjertsen JE. Is there a weekend effect after hip fracture surgery? A study of 74,410 hip fractures reported to the Norwegian Hip Fracture Register. Acta Orthop 2020; 91: 63-8.
  2. Zhang C, Feng J, Wang S, et al. Incidence of and trends in hip fracture among adults in urban China: A nationwide retrospective cohort study. PLoS Med 2020; 17: e1003180. Bozkurt HH, Tokgöz MA, Yapar A and Atik OŞ. What is the importance of canal-to- diaphysis ratio on osteoporosis-related hip fractures? Eklem Hastalik Cerrahisi 2019; 30: 296-300.
  3. Şener M, Onar V, Kazımoğlu C and Yağdı S. Parsiyel protez ile tedavi edilen yaşlı femur üst uç kırıklarında mortalite ve morbidite ilişkisi. Eklem Hastalıkları ve Cerrahisi 2009; 20: 11-7.
  4. Kristoffersen MH, Dybvik E, Steihaug OM, et al. Validation of orthopaedic surgeons' assessment of cognitive function in patients with acute hip fracture. BMC Musculoskelet Disord 2019; 20: 268. Pollmann CT, Rotterud JH, Gjertsen JE, Dahl FA, Lenvik O, Aroen A. Fast track hip fracture care and mortality - an observational study of 2230 patients. BMC Musculoskelet Disord 2019; 20: 248. Alm CE, Frihagen F, Dybvik E, Matre K, Madsen JE, Gjertsen JE. Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate-a study on 20,902 fractures from the Norwegian hip fracture register 2011-2017. J Orthop Surg Res 2021; 16: 26. Kjaervik C, Stensland E, Byhring HS, Gjertsen JE, Dybvik E, Soreide O. Hip fracture treatment in Norway: deviation from evidence-based treatment guidelines: data from the Norwegian Hip Fracture Register, 2014 to 2018. Bone Jt Open 2020; 1: 644-53.
  5. Majoor BCJ, Leithner A, Van de Sande MAJ, Appelman-Dijkstra NM, Hamdy NAT, Dijkstra PDS. Individualized approach to the surgical management of fibrous dysplasia of the proximal femur. Orphanet J Rare Dis 2018; 13: 72. Cauley JA, Cawthon PM, Peters KE, et al. Risk factors for hip fracture in older men: the Osteoporotic Fractures in Men Study (MrOS). J Bone Miner Res 2016; 31: 1810-9.
  6. Zhang YW, Lu PP, Li YJ, et al. Prevalence, characteristics, and associated risk factors of the elderly with hip fractures: a cross-sectional analysis of NHANES 2005-2010. Clin Interv Aging 2021; 16: 177-85.
  7. Schnell S, Friedman SM, Mendelson DA, Bingham KW, Kates SL. The 1-year mortality of patients treated in a hip fracture program for elders. Geriatr Orthop Surg Rehabil 2010; 1: 6-14.
  8. Yang Y, Komisar V, Shishov N, et al. The effect of fall biomechanics on ris