Postoperative Mortality and the Associated Factors for Senile Hip Fracture Patients / 대한정형외과학회잡지

ABSTRACT

PURPOSE: The purpose of this study was to report on the mortality, follow-up rate and some factors related to mortality for elderly patients with hip fractures. MATERIALS AND METHODS: The subjects of the study were one hundred and eighteen (40 males and 78 females) patients older than 65 years and who underwent surgery for hip fracture between June 2003 and October 2005. The mortality and follow-up rates were determined retrospectively. We analyzed the relationship between postoperative mortality and such variables as age, gender, the type of fracture, the operative methods, operative delay, comorbidity, the ASA score, BMD (Bone mineral density) and the ambulatory capability. RESULTS: At three months, the follow-up rate and mortality rate were 58.4% and 11.8%, respectively. At six months, they were 40.7% and 18.6%, respectively; at 1 year, they were 28.8% and 28.8%, respectively. There was no relationship between postoperative mortality and age, gender, the type of fracture, the operative methods, operative delay and the BMD. However, there were significant relationships between postoperative mortality and comorbidity, the ASA score and the ambulatory capability. CONCLUSION: The one year mortality rate and follow-up rate were 28.8% and 28.8% for senile hip fracture patients. Comorbidity, the ASA score and the ambulatory capability were factors associated with postoperative mortality following hip fracture in elderly patients.