Turkish Journal of Geriatrics 2018 , Vol 21, Issue 1
ONE-YEAR RETROSPECTIVE EVALUATION OF HIP FRACTURE PATIENTS AGED MORE THAN 80 YEARS AND POSTOPERATIVELY MONITORED IN THE INTENSIVE CARE UNIT
Uygar DAŞAR1
1Karabük University, Faculty of Medicine Department of Orthopaedics and Traumatology Karabük, Turkey DOI : 10.31086/tjgeri.2018137970 Introduction: As in all the world, expected life time has extended in our country as well which increases yearly operated elderly patient rate. Surgical intervention for hip fracture is one of the most common operations among them

Materials and Method: This study was done between 2014 and 2015 at Karabük Education and Research Hospital ICU. Who were older than age of 80, operated for hip surgery and monitorized at ICU postoperatively included to study.

Results: The mean age of our patients was 84.65±3.36 years, and 50 of them were female (69.44%). 40 patients showed trochanteric femur fracture and 32 showed femoral neck fracture. Proximal femoral nail was implanted in 38 patients and partial hip prosthesis in 34. Regional anesthesia was administered to 57 patients and general anesthesia to 15. The hospital mortality rate was 16.6%.When we grouped the patients as surviving (60) or died (12), we found that the time before surgery was significantly longer for the died patients than for the surviving ones. The need for MV, duration of MV, and the need for inotropic agents were higher in died patients. The duration of ICU follow-up and hospital stay were longer for died patients. Other parameters showed no significant differences.

Conclusion: In our study, mental status of our patients and post-discharge conditions could not be evaluated. Not describing the cause of delay to the surgery and not recording patient satisfaction was other limitations. Therefore, we have decided to form a new research protocol for evaluating patient satisfaction and causes of delay to the surgery. Keywords : Aged; Hip fractures; Mortality; Risk factors; Intensive care units