Early Mortality Rates and Types of Surgery in Geriatric Patients with Hip Fractures Undergoing Surgical Treatment

Authors : Zafer Özel, Zekeriya Okan Karaduman, Mehmet Arican, Yalçın Turhan, Cengiz Tuncer, Veysel Uludağ

Pages : 100-105

Doi:10.33631/sabd.1355730

View : 45 | Download : 54

Publication Date : 2024-01-16

Article Type : Research Paper

Abstract :Aim: The aim of this study was to investigate the relationships between mortality within 30 days after surgery and fracture incidence, implant type and surgical timing in patients older than 65 years who developed hip fractures after a simple fall and were treated surgically. Material and Methods: Patients admitted to the emergency department of the xxx Department of Orthopedics and Traumatology between 01 January 2010 and 31 July 2020 were included. Among these patients, the relationships between sex, age, duration of surgery, type of surgery and postoperative mortality rate were retrospectively evaluated in patients older than 65 years who were diagnosed with isolated hip fracture and who underwent prosthesis or proximal femoral nail/plate screw surgery between the specified dates. In this study, 450 patients treated within the specified time intervals were evaluated, and 308 patients fulfilled the criteria of our study. Results: There was a statistically significant difference between the mortality rate and surgery (implant) (p<0.05). Additionally, there was a statistically significant difference between the mortality rate and the type of anesthesia (p<0.001). There was no statistically significant difference between the time between hospitalization and surgery (days) or between surgery and discharge (days) or between hospitalization and mortality (p=0.984). The difference between age at operation and mortality rate was statistically significant (p<0.001). Conclusion: In this study, the mortality rate in the first month after surgery was 8.1%, and the most important factors affecting mortality were the type of surgery and type of anesthesia.
Keywords : kalça kırığı, ameliyat zamanlaması, mortalite, geriatri