Pre-operative Factors Predicting Mortality in Six Months and Functional Recovery in Elderly Patients with Hip Fractures
https://doi.org/10.5704/MOJ.2303.002
- Author:
Nam NH
1
;
Minh ND
2
;
Hai TX
3
;
Sinh CT
4
;
Loi CB
5
;
Anh LT
6
Author Information
1. Department of Orthopaedics, Nghe An Orthopaedic and Trauma Hospital, Nghe An, Vietnam
2. Department of Orthopaedics, National Hospital of Acupuncture, Ha Noi, Vietnam
3. Department of Pediatrics, Nghe An Obstetrics and Pediatrics Hospital, Nghe An, Vietnam
4. Department of Orthopaedics Vinh Medical University, Nghe An, Vietnam
5. Department of Parasitology, National Institute of Malariology, Parasitology and Entomology
6. Department of Parasitology, Vietnam Military Medical University, Hanoi, Vietnam
- Publication Type:Journal Article
- Keywords:
hip fracture, mortality, functional recovery, harris hip score, Vietnam
- From:Malaysian Orthopaedic Journal
2023;17(No.1):10-17
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: This study aimed to determine on-admission
and perioperative factors predicting six-month mortality and
functional recovery in Vietnamese patients with hip fracture.
Materials and methods: Between April 2020 and July
2021, 118 patients participated in this prospective study.
Patients’ data were collected from medical records. Harris
hip score (HHS) was used to evaluate the functional recovery
six months after fractures. The obtained data were analysed
using a univariate and multivariate model.
Results: The mean age of the participants was 79.5±9.4
years and 68.6% of the patients were female. The six-month
mortality rate was 5.9% and independently associated with
age (odds ratio (OR): 3.512, 95% confidence interval (CI)
1.538 – 8.019; P<0.001, patients aged >80 years vs those
aged ≤80 years) and hypoproteinemia (OR: 2.859, 95% CI:
1.001 – 8.166, P=0.049). Among 111 survivors there were 66
(59.5%) of patients with a good functional recovery. Patients
aged >80 years had a higher risk of poor functional outcome
(OR: 3.167, 95% CI: 1.386 – 7.235, P: 0.006) compared to
those aged ≤ 80 years. No significant correlations between
other clinical (gender, body mass index, comorbidities, type
of fractures or surgery, time until surgery) or laboratory
parameters (anaemia, hyperglycemia, marked elevation of C
reactive protein level, electrolyte abnormalities, elevated
urea) and mortality or functional outcome were found.
Conclusion: Advanced age is the most important factor
affecting both mortality and functional outcome while
hypoproteinemia is associated with a higher risk of mortality
in elderly patients with hip fractures.
- Full text:16.2023my1289.pdf
