Mortality after Hip Fractures in Nonagenarians.
10.11005/jbm.2012.19.2.83
- Author:
Bun Jung KANG
1
;
Young Kyun LEE
;
Ki Woong LEE
;
Sung Hun WON
;
Yong Chan HA
;
Kyung Hoi KOO
Author Information
1. Department of Orthopaedic Surgery, SM Christianity Hospital, Pohang, Korea.
- Publication Type:Original Article
- Keywords:
Hip fractures;
Mortality;
Nonagenarians
- MeSH:
Aged, 80 and over;
Female;
Femoral Neck Fractures;
Femur;
Hip;
Hip Fractures;
Humans;
Male;
Multivariate Analysis;
Risk Factors
- From:Journal of Bone Metabolism
2012;19(2):83-86
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: Nonagenarians with hip fractures represent a special group of people because of their advanced age and co-morbidities. We evaluated mortality after hip fractures in nonagenarians. METHODS: Fifty-one patients were studied over a 2-year period. There were 39 female and 12 male patients. Twenty seven patients sustained an intertrochanteric fracture of the femur, 24 suffered from femoral neck fracture. The American Society of Anaesthetists (ASA) score of II was the most frequent among 51. Forty-one of them had one or more co-morbidities. Patient review was done 2 years after the fracture. RESULTS: The mortality rate at one year was 53.4% in men, and 15.7% in women. After multivariate analysis, the type of fracture (intertrochanteric fracture) was identified as a risk factor for one-year mortality (P = 0.025). CONCLUSION: The outcome in nonagenarians with hip fractures is poor due to the high rates of mortality, especially in men, and this could be informed to patients and their families before hip fracture surgery.
