Turkish Journal of Geriatrics 2023 , Vol 26, Issue 4
EVALUATION OF MORTALITY AND MORBIDITY ASSOCIATED WITH OSTEOPOROTIC HIP FRACTURE
Musa BAKLACI1, Yeşim KİRAZLI2, Ece ÇINAR2, Funda ÇALIŞ2, Ezgi YILDIZ GÜVERCİN4, Nadir ÖZKAYIN3, Kemal AKTUĞLU3
1Kemalpaşa State Hospital, Physical Medicine and Rehabilitation, Izmir, Turkey
2Ege University, School of Medicine, Physical Medicine and Rehabilitation, Izmir, Turkey
3Tavşanlı Doç. Dr. Mustafa Kalemli State Hospital, Physical Medicine and Rehabilitation, Kütahya, Turkey
4Ege University, School of Medicine, Orthopaedics and Traumatology, Izmir, Turkey
DOI : 10.29400/tjgeri.2023.371 Introduction: Hip fractures in older adults are associated with significant morbidity, mortality, loss of independence, and financial burdens. In this study, we assessed how factors influenced these effects in elderly patients presenting with hip fractures.

Materials and Method: A prospective observational study was conducted over six months on all patients with fall and hip fractures above 50 years of age who presented to the orthopedics and traumatology clinic of our university hospital. Ambulation status, time until operation, vitamin D level, vertebral fractures, Charlson comorbidity index, and Fracture Risk Assessment Tool score were recorded. The patients" re-evaluated in the sixth month after the fracture. The relationship between death and risk factors was examined by regression analysis.

Results: 105 patients were included in the study. The mortality rate was 23.8%. The immobility rate also increased from before the operation to after 1.9% to 31.4%. Univariate regression analysis showed that mortality is related to age, Charlson comorbidity index, smoking history, and Fracture Risk Assessment Tool hip score. At the same time, multivariate regression analysis revealed an association between body mass index, smoking history, and mortality.

Conclusion : Osteoporosis is a widespread disease that may remain hidden until complications, such as fractures, present themselves. Functional loss and mortality risk are high in patients with fractures. Age, Charlson comorbidity index, body mass index, smoking, Fracture Risk Assessment Tool hip score, and pre-fracture ambulation status affect mortality. A decrease in mortality can be achieved by monitoring risky individuals in fracture liaison services. Keywords : Risk factors; Mortality; Osteoporosis; Hip fractures