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