End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly
Yıl: 2018 Cilt: 33 Sayı: 1 Sayfa Aralığı: 5 - 9 Metin Dili: İngilizce DOI: 10.5222/MMJ.2018.31391 İndeks Tarihi: 26-02-2020
End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly
Öz: Hip fractures are among important causes of mortality. Variouscomorbid factors contribute to this outcome. The end-stage renalfailure (ESRF) is an extremely important factor leads to seriouscomplications. When the presence of other comorbid diseasesis taken into consideration, the relationship between mortalityof hip fractures and end-stage renal disease was not well elucidated in the elderly population. The aim of this study was todetermine the association between hip fracture mortality andend-stage renal disease. An evaluation was made of the data ofpatients with diagnosis of hip fracture. Current status of survival or date of death was determined. Patients were evaluated ascases with (Group 1: n=37), and without (Group 2: n=281) endstage renal disease. Both groups were retrospectively comparedregarding the age, female/male ratio, cardiac ejection fraction,bone cement usage, total hospitalization time, time from initialtrauma to surgery for surgical preparation and mortality. Therewere additional comorbid diseases except renal disease. Besides the comorbidities were categorized as cardiac / pulmonary/ neurologic and diabetes mellitus and both study groups werecompared based on comorbid disease groups. There were no significant differences with respect to age (p=0.782), female: maleratio (p=0.659), ejection fraction (p=0.285), bone cement usage (p=0.971), duration of surgery (p=0,758), cardiac (p=0.570),pulmonary (p=0.875), and neurologic comorbidities (p=0.895)between two groups. A statistically significant relationship wasfound between both groups with respect to total hospitalizationperiod (p<0.001), time from trauma to surgery (p<0.001), mortality (p=0.009) and diabetes mellitus (p=0.043). End-stage renaldisease with diabetes mellitus increases mortality of hip fracturesin the elderly independent from the presence of other comorbidities. These patients have a longer period of total hospitalizationand surgical preparation time.
Anahtar Kelime: Konular:
Son dönem böbrek yetmezliği parsiyel kalça proteziyle tedavi edilmiş kalça kırığı olan yaşlı hastalardaki mortaliteyi etkiler
Öz: Yaşlılarda kalça kırıkları, önemli mortalite nedenlerinden biridir. Çeşitli komorbid faktörler bu sonuca katkıda bulunur. Son derece önemli bir komorbid faktör olan son dönem böbrek yetmezliği (SDBY), ciddi komplikasyonlara neden olur. Bununla birlikte, diğer komorbid hastalıkların varlığı göz önünde bulundurulduğunda, SDBY’nin tek başına mortaliteye etkisi halen netlik kazanmamıştır ve bu çalışmada bu ilişkinin değerlendirilmesi amaçlanmıştır. Kalça kırığı tanısı ile kliniğimize başvurup parsiyel kalça artroplastisi ile tedavi edilmiş olan 65 yaş ve üstü hastalar retrospektif olarak değerlendirildi. Tüm hastalarla temasa geçildi. Ölüm meydana gelmiş ise tarihi kaydedildi. Hastalar kırık oluşumundan önce tanı koyulmuş SDBY’si olan (Grup 1, n=37) ve olmayan (Grup 2, n=281) olmak üzere 2 grupta değerlendirildi. Her iki gruptaki hastalar ortalama yaş, cinsiyet, kardiyak ejeksiyon fraksiyonu (EF), toplam hastanede kalış süresi, hastaneye yatıştan ameliyata kadar geçen süre, ameliyat süresi, çimento kullanımı ve mortalite parametreleri açısından karşılaştırıldı. Ayrıca komorbid hastalıklar kategorize edilerek kardiyak, pulmoner, nörolojik komorbid hastalıklar ve diabetes mellitus (DM) gruplarına ayrıldı. Her iki grup ek hastalık kategorileri açısından karşılaştırıldı. Yaş ortalaması (p=0,782), cinsiyet (p=0,659), EF (p=0,285), çimento kullanımı (p=0,971) ve ameliyat süresi (p=0,758) açısından gruplar arasından anlamlı fark yoktu. Gruplar arasında toplam hastaneye yatış süresi (p<0,001), ameliyat olana dek geçen süre (p<0,001) ve mortalite (p=0,009) açısından anlamlı fark belirlendi. Komorbid faktörlere göre grupların karşılaştırılması sonucunda kardiyak (p=0,570), pulmoner (p=0,875) ve nörolojik (p=0,895) açıdan fark yoktu. DM açısından gruplar arasındaki fark bulundu (p=0,043). SDBY ile birlikte DM varlığı, yaşlı hastalarda kalça kırıklarının mortalitesini diğer komorbiditelerden bağımsız olarak artırmaktadır. Bu hastaların hastanede kalış süresi ve cerrahi hazırlık süresi daha uzun olmaktadır
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Tahta M, ZENGİN E, ÖZCAN C, öztürk t, BULUT T, ŞENER M (2018). End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. , 5 - 9. 10.5222/MMJ.2018.31391 |
| Chicago | Tahta Mesut,ZENGİN EYUP ÇAĞATAY,ÖZCAN Cem,öztürk tahir,BULUT TUĞRUL,ŞENER MUHİTTİN End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. (2018): 5 - 9. 10.5222/MMJ.2018.31391 |
| MLA | Tahta Mesut,ZENGİN EYUP ÇAĞATAY,ÖZCAN Cem,öztürk tahir,BULUT TUĞRUL,ŞENER MUHİTTİN End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. , 2018, ss.5 - 9. 10.5222/MMJ.2018.31391 |
| AMA | Tahta M,ZENGİN E,ÖZCAN C,öztürk t,BULUT T,ŞENER M End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. . 2018; 5 - 9. 10.5222/MMJ.2018.31391 |
| Vancouver | Tahta M,ZENGİN E,ÖZCAN C,öztürk t,BULUT T,ŞENER M End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. . 2018; 5 - 9. 10.5222/MMJ.2018.31391 |
| IEEE | Tahta M,ZENGİN E,ÖZCAN C,öztürk t,BULUT T,ŞENER M "End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly." , ss.5 - 9, 2018. 10.5222/MMJ.2018.31391 |
| ISNAD | Tahta, Mesut vd. "End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly". (2018), 5-9. https://doi.org/10.5222/MMJ.2018.31391 |
| APA | Tahta M, ZENGİN E, ÖZCAN C, öztürk t, BULUT T, ŞENER M (2018). End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. Medeniyet Medical Journal, 33(1), 5 - 9. 10.5222/MMJ.2018.31391 |
| Chicago | Tahta Mesut,ZENGİN EYUP ÇAĞATAY,ÖZCAN Cem,öztürk tahir,BULUT TUĞRUL,ŞENER MUHİTTİN End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. Medeniyet Medical Journal 33, no.1 (2018): 5 - 9. 10.5222/MMJ.2018.31391 |
| MLA | Tahta Mesut,ZENGİN EYUP ÇAĞATAY,ÖZCAN Cem,öztürk tahir,BULUT TUĞRUL,ŞENER MUHİTTİN End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. Medeniyet Medical Journal, vol.33, no.1, 2018, ss.5 - 9. 10.5222/MMJ.2018.31391 |
| AMA | Tahta M,ZENGİN E,ÖZCAN C,öztürk t,BULUT T,ŞENER M End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. Medeniyet Medical Journal. 2018; 33(1): 5 - 9. 10.5222/MMJ.2018.31391 |
| Vancouver | Tahta M,ZENGİN E,ÖZCAN C,öztürk t,BULUT T,ŞENER M End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly. Medeniyet Medical Journal. 2018; 33(1): 5 - 9. 10.5222/MMJ.2018.31391 |
| IEEE | Tahta M,ZENGİN E,ÖZCAN C,öztürk t,BULUT T,ŞENER M "End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly." Medeniyet Medical Journal, 33, ss.5 - 9, 2018. 10.5222/MMJ.2018.31391 |
| ISNAD | Tahta, Mesut vd. "End-stage renal disease affect mortality of hip fractures treated with partial hip prosthesis in the elderly". Medeniyet Medical Journal 33/1 (2018), 5-9. https://doi.org/10.5222/MMJ.2018.31391 |
