Dataset Information

Factors influencing early and long-term survival following hip fracture among nonagenarians.

ABSTRACT:

Background

The outcomes of nonagenarian patients undergoing orthopaedic surgery are not well understood. We investigated the 30-day mortality after surgical treatment of unilateral hip fracture. The relationship between postoperative complications and mortality was evaluated.

Methods

We performed a single-centre retrospective cohort study of nonagenarian patients undergoing hip fracture surgery over a 6-year period. Postoperative complications were graded according to the Clavien-Dindo classification. Correlation analyses were performed to evaluate the relationship between mortality and pre-specified mortality risk predictors. Survival analyses were assessed using Cox proportional hazards regression modelling.

Results

The study included 537 patients. The 30-day mortality rate was 7.4%. The mortality rate over a median follow-up period of 30 months was 18.2%. Postoperative complications were observed in 459 (85.5%) patients. Both the number and severity of complications were related to mortality (p < 0.001). Compared to patients who survived, deceased patients were more frail (p = 0.034), were at higher ASA risk (p = 0.010) and were more likely to have preoperative congestive heart failure (p < 0.001). The adjusted hazard ratio for mortality according to the number of complications was 1.3 (95% CI 1.1, 1.5; p = 0.003). Up to 21 days from admission, any increase in complication severity was associated significantly greater mortality [adjusted hazard ratio: 3.0 (95% CI 2.4, 3.6; p < 0.001)].

Conclusion

In a nonagenarian cohort of patients undergoing hip fracture surgery, 30-day mortality was 7.4%, but 30-month mortality rates approached one in five patients. Postoperative complications were independently associated with a higher mortality, particularly when occurring early.

SUBMITTER: Weinberg L

PROVIDER: S-EPMC8557574 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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Publications

Factors influencing early and long-term survival following hip fracture among nonagenarians.

Weinberg Laurence L Ou Yang Bobby B Cosic Luka L Klink Sarah S Le Peter P Li Jasun Kai JK Koshy Anoop Ninan AN Jones Daryl D Bellomo Rinaldo R Tan Chong Oon CO Lee Dong-Kyu DK

Journal of orthopaedic surgery and research 20211030 1

<h4>Background</h4>The outcomes of nonagenarian patients undergoing orthopaedic surgery are not well understood. We investigated the 30-day mortality after surgical treatment of unilateral hip fracture. The relationship between postoperative complications and mortality was evaluated.<h4>Methods</h4>We performed a single-centre retrospective cohort study of nonagenarian patients undergoing hip fracture surgery over a 6-year period. Postoperative complications were graded according to the Clavien- ...[more]

PMID: 34717695

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Dataset Information

Factors influencing early and long-term survival following hip fracture among nonagenarians.

Background

Methods

Results

Conclusion

Publications

Factors influencing early and long-term survival following hip fracture among nonagenarians.

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