Poor Prognosis in Elderly Patients Who Refused Surgery Because of Economic Burden and Medical Problem After Hip Fracture.
10.3346/jkms.2013.28.9.1378
- Author:
Byung Ho YOON
1
;
Ji Hoon BAEK
;
Min Kyu KIM
;
Young Kyun LEE
;
Yong Chan HA
;
Kyung Hoi KOO
Author Information
1. Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
Hip Fractures;
Conservative Treatment;
Economic Burden;
Mortality;
Functional Loss
- MeSH:
Age Factors;
Aged;
Aged, 80 and over;
Female;
Follow-Up Studies;
Hip Fractures/diagnosis/mortality/*surgery;
Humans;
Kaplan-Meier Estimate;
Male;
Prognosis;
Recovery of Function;
Severity of Illness Index;
Sex Factors;
Socioeconomic Factors
- From:Journal of Korean Medical Science
2013;28(9):1378-1381
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although many studies have assessed mortality and morbidity of conservative treatment after hip fracture in elderly patients, the mortality of conservative treatment done because of economic burden is unclear. Among 451 patients diagnosed with displaced hip fracture during 3 yr, 28 patients (Group I) were enrolled as conservative treatment. Fifty-six patients matched in age, gender, ASA score, and diagnosis (Group II) who had undergone surgical treatment were used as the control group. The causal factors of non-operative treatment and mortality rate and functional recovery were evaluated according to the causal factors of patients with surgical procedure. Ten patients (36%) in Group I involved medical problems and 18 (64%) by economic burdens. The cumulative mortality rate over 3, 6, 12, and 24 months was 54%, 61%, 64%, and 82% in Group I and 9%, 11%, 14%, and 21% in Group II, respectively. At the latest follow-up, all five patients in Group I displayed a nonfunctional ambulatory state, whereas only seven of 44 patients in Group II were in a nonfunctional ambulatory state. Non-surgical treatment following hip fracture that is done because of the economic burden is associated with substantially high mortality and serious functional loss.
