دورية أكاديمية
Mortality Rates After Nonoperative Geriatric Hip Fracture Treatment: A Matched Cohort Analysis.
| العنوان: | Mortality Rates After Nonoperative Geriatric Hip Fracture Treatment: A Matched Cohort Analysis. |
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| المؤلفون: | Shin ED; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest., Sandhu KP; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest., Wiseley BR; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest., Hetzel SJ; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest., Winzenreid AE; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest., Simske NM; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest., Johnson KP; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest., Goodspeed DC; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest., Doro CJ; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest., Whiting PS; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI.; The authors report no conflict of interest. |
| المصدر: | Journal of orthopaedic trauma [J Orthop Trauma] 2023 May 01; Vol. 37 (5), pp. 237-242. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8807705 Publication Model: Print Cited Medium: Internet ISSN: 1531-2291 (Electronic) Linking ISSN: 08905339 NLM ISO Abbreviation: J Orthop Trauma Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [New York, N.Y.] : Raven Press, [c1987- |
| مواضيع طبية MeSH: | Hip Fractures*/surgery, Aged ; Humans ; Bone Screws ; Cohort Studies ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Objective: To compare the mortality rate between geriatric patients with hip fracture treated nonoperatively and a matched cohort treated operatively. Design: Retrospective Observational Matched Cohort Study. Setting: Academic Level 1 Trauma Center. Patients: Geriatric patients who sustained femoral neck and intertrochanteric/peritrochanteric fractures, excluding isolated greater trochanteric fractures. All patients older than 65 years with hip fractures over a 10-year period were identified. Operative patients were matched at a 2:1 ratio, when possible, to nonoperative patients based on Charlson Comorbidity Index and American Society of Anesthesiologists score. Intervention: Nonoperative treatment or operative treatment (femoral neck fractures: cannulated screw fixation or hemiarthroplasty; intertrochanteric/peritrochanteric fractures: sliding hip screw or cephalomedullary nail fixation; or proximal femoral locking plate). Main Outcomes: Mortality calculated at 30 and 90 days, and 1-year after injury. Mortality was compared between groups using logistic regression while controlling for age, CVA/TIA, and dementia. Results: Seven hundred seventy-two patients (171 nonoperative and 601 operative) were initially identified. After applying the matching algorithm, 128 nonoperative and 239 operative patients were included in the analysis. There were no significant differences in age, sex, Charlson Comorbidity Index, or American Society of Anesthesiologists score between the cohorts. Nonoperative patients had a significantly higher 1-year mortality rate than operative patients [46.1% vs. 18.0%, Odds Ratio (95% confidence interval): 3.85 (2.34-6.41), P < 0.001]. Conclusions: Geriatric patients with hip fracture treated nonoperatively had a 1-year mortality rate of 46.1%, more than double the rate among operative patients. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
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| تواريخ الأحداث: | Date Created: 20230202 Date Completed: 20230424 Latest Revision: 20230721 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1097/BOT.0000000000002549 |
| PMID: | 36728997 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1531-2291 |
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| DOI: | 10.1097/BOT.0000000000002549 |