Turkish Journal of Geriatrics 2018 , Vol 21, Issue 2
HIP FRACTURE SURGERY IN PATIENTS OLDER THAN 90 YEARS: EVALUATION OF FACTORS THAT AFFECT 30-DAY MORTALITY IN A PARTICULARLY RISKY GROUP
Tansel MUTLU1, Uygar DAŞAR1
1Karabük University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Karabük, Turkey DOI : 10.31086/tjgeri.2018240429 Introduction: To date, hip fracture-related mortality studies are generally conducted on patients over 65 years of age. In our study, we predicted that factors affecting hip injuryrelated mortality may differ from the current literature and aimed to determine these factors in patients over 90 years of age who were hospitalized due to hip fracture.

Materials and Method: The data of 118 patients who were operated for hip fracture at Karabük University Training and Research Hospital between 2011 and 2014 were retrospectively reviewed. Each patient"s age, sex, preoperative period, American Society of Anesthesiologists (ASA) score, type of anesthesia, comorbid diseases, blood transfusion requirements, fracture type, and mortality time were recorded.

Results: The age difference between patients who died (death group) and survivors (survivor group) was statistically significant (p=0.004). The ejection fraction (EF) values of patients who died within the first 30 days after surgery were significantly lower (p=0.012) than those of the survivor group, and more comorbid diseases were seen in the death group (p=0.014). In addition, the median ASA score of the death group was higher than that of the survivor group (p=0.006).

Conclusions: The 30-day mortality rate in our study was 27.9%, which is significantly higher compared with previous studies. To cope with high mortality rates in elderly patients with hip fracture, the patients" general medical conditions should be assessed in detail before surgical intervention and medical problems should be stabilized as early as possible. Keywords : Mortality; Hip Fractures; Arthroplasty, Replacement, Hip