Yıl: 2021 Cilt: 55 Sayı: 6 Sayfa Aralığı: 493 - 499 Metin Dili: İngilizce İndeks Tarihi: 31-05-2022

Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study

Öz:
Objective: The aims of this study were (1) to investigate the effects of different demographic and perioperative modalities on mortality rates and (2) to compare mortality rates between different implants in elderly patients operated on for hip fractures. Methods: In this retrospective study, a total of 314 patients who were operated on for hip fractures were included study. Patients were then divided into four groups based in their implant types: long-stem cementless bipolar hemiarthroplasty (n = 124; 102 female, 22 male; mean age = 84.2 ± 6.4 years), standard-stem cementless bipolar hemiarthroplasty (n = 74; 48 female, 26 male; mean age = 83.5 ± 6.9 years), antegrade intertrochanteric nail (n = 61; 35 female, 26 male; mean age = 78.5 ± 6.8 years), and total hip arthroplasty (n = 55; 34 female, 21 male; mean age = 72.5 ± 4.3 years). Data including gender, age, duration from injury to surgery, American Society of Anesthesiologists (ASA) score, comorbidities, use of antiplatelet agents, Barthel Index of Activities of Daily Living, type of anesthesia, operation time, preoperative hemoglobin values, blood transfusions given, duration of hospital stay, complications, and type of fracture were recorded. Results: Overall, the mean follow-up was 36.5 (range = 0 – 107) months. The overall mortality rate was 53.2%. The median survival duration was 44.2 ± 5 months (range = 34.3 – 54). Survival rates were found significantly different among the groups (P = 0.001). In the first three years postoperatively, the mortality rate was higher in the standard-stem bipolar hemiarthroplasty group, but in the long-term follow-up, the long-stem bipolar hemiarthroplasty group exhibited the higher mortality rates. It was observed that some parameters had statistically significant effects on the mortality rates. Male gender, higher age, lower hemoglobin values, increased number of blood transfusions, ASA scores ≥3, the existence of ≥ 3 comorbidities were found as main predictors of increased mortality rates. Conclusion: The results of this study have shown that age, gender, preoperative hemoglobin levels, ASA scores, and comorbidities are significant factors affecting mortality in elderly patients operated on for hip fractures. Long-stem cementless bipolar hemiarthroplasty appears to show similar rates of mortality with standard-stem cementless bipolar hemiarthroplasty.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
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APA BICEN A, Akdemir M, türken m, ÇEKOK F, EKIN A, Turan A (2021). Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. , 493 - 499.
Chicago BICEN AHMET CAGDAS,Akdemir Mehmet,türken mehmet aykut,ÇEKOK Fatma Kubra,EKIN AHMET,Turan Ahmet Cemil Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. (2021): 493 - 499.
MLA BICEN AHMET CAGDAS,Akdemir Mehmet,türken mehmet aykut,ÇEKOK Fatma Kubra,EKIN AHMET,Turan Ahmet Cemil Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. , 2021, ss.493 - 499.
AMA BICEN A,Akdemir M,türken m,ÇEKOK F,EKIN A,Turan A Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. . 2021; 493 - 499.
Vancouver BICEN A,Akdemir M,türken m,ÇEKOK F,EKIN A,Turan A Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. . 2021; 493 - 499.
IEEE BICEN A,Akdemir M,türken m,ÇEKOK F,EKIN A,Turan A "Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study." , ss.493 - 499, 2021.
ISNAD BICEN, AHMET CAGDAS vd. "Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study". (2021), 493-499.
APA BICEN A, Akdemir M, türken m, ÇEKOK F, EKIN A, Turan A (2021). Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica, 55(6), 493 - 499.
Chicago BICEN AHMET CAGDAS,Akdemir Mehmet,türken mehmet aykut,ÇEKOK Fatma Kubra,EKIN AHMET,Turan Ahmet Cemil Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica 55, no.6 (2021): 493 - 499.
MLA BICEN AHMET CAGDAS,Akdemir Mehmet,türken mehmet aykut,ÇEKOK Fatma Kubra,EKIN AHMET,Turan Ahmet Cemil Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica, vol.55, no.6, 2021, ss.493 - 499.
AMA BICEN A,Akdemir M,türken m,ÇEKOK F,EKIN A,Turan A Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica. 2021; 55(6): 493 - 499.
Vancouver BICEN A,Akdemir M,türken m,ÇEKOK F,EKIN A,Turan A Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica. 2021; 55(6): 493 - 499.
IEEE BICEN A,Akdemir M,türken m,ÇEKOK F,EKIN A,Turan A "Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study." Acta Orthopaedica et Traumatologica Turcica, 55, ss.493 - 499, 2021.
ISNAD BICEN, AHMET CAGDAS vd. "Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study". Acta Orthopaedica et Traumatologica Turcica 55/6 (2021), 493-499.