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Predictors of long-term mortality after intertrochanteric fractures surgery: a 3-year retrospective study.


ABSTRACT:

Introduction

Intertrochanteric fractures are associated with high mortality rates; however, long-term data on survival and predictors remain scarce. Therefore, this study investigated risk factors associated with 3-year mortality in elderly patients with intertrochanteric fractures.

Methods

In a retrospective study, 156 elderly patients with intertrochanteric fractures who underwent surgery between January 2017 to January 2018 at our center were included. Association-affecting variables, such as gender, age, time from injury to surgery, hemoglobin (Hb), total lymphocyte count (TLC), albumin, malnutrition, and co-morbidities, were recorded and analyzed. Afterward, logistic regression was used to analyze the significant variables and find independent predictors for 3-year mortality.

Results

A total of 156 patients were followed up for 3 years. The 1-year, 2-year, and 3-year postoperative cumulative mortality rates were 9.6% (15/156), 16.7% (26/156), and 24.4% (38/156), respectively. Simple analyses found that age, Hb, albumin, and malnutrition were associated with 3-year mortality (p < 0.05). Multivariable analysis confirmed that advanced age (p < 0.001) and low albumin (p = 0.014) were independent risk factors for 3-year mortality.

Conclusion

Low serum albumin and advanced age were independent risk factors for long-term mortality in elderly patients with intertrochanteric fractures.

SUBMITTER: Lu Y 

PROVIDER: S-EPMC9118842 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature

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Publications

Predictors of long-term mortality after intertrochanteric fractures surgery: a 3-year retrospective study.

Lu Yao Y   Huang Qiang Q   Xu Yibo Y   Ren Cheng C   Sun Liang L   Dong Wenchao W   Li Ming M   Xue Hanzhong H   Li Zhong Z   Zhang Kun K   Ma Teng T   Wang Qian Q  

BMC musculoskeletal disorders 20220519 1


<h4>Introduction</h4>Intertrochanteric fractures are associated with high mortality rates; however, long-term data on survival and predictors remain scarce. Therefore, this study investigated risk factors associated with 3-year mortality in elderly patients with intertrochanteric fractures.<h4>Methods</h4>In a retrospective study, 156 elderly patients with intertrochanteric fractures who underwent surgery between January 2017 to January 2018 at our center were included. Association-affecting var  ...[more]

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