medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2003, Number 1

<< Back Next >>

An Med Asoc Med Hosp ABC 2003; 48 (1)

Mortality after hip fracture treated in the ABC Medical Center between 1996-2001

Castañeda LP, Cassis ZN

Language: Spanish
References: 42
Page: 33-37
PDF size: 64.54 Kb.


ABSTRACT

Reports on mortality after a fracture of the hip have shown varied results and there is no report of this kind on the mortality after a fracture of the hip treated at the ABC Medical Center. A retrospective, observational, longitudinal review of all patients treated at the ABC Medical Center for a fracture of the hip between January 1996 and January of 2001 was carried out. Two hundred and thirty four patients were reviewed (193 women and 41 men) the average age was 79.32 years. Mortality at one year after the fracture was found to be at 9.8% for the group treated surgically and 33.33% for the group treated non-surgically. These results were compared with the general population finding a significantly higher risk of death during the first year after the fracture. The risk of death was directly proportional to age and physical status, as evaluated by the ASA. Old age, male sex and a deteriorated physical status were all found to be independent risk factors for death after a fracture of the hip.


REFERENCES

  1. Bhattacharyya T, Iorio R, Healy WL. Rate of and risk factors for acute inpatient mortality after orthopaedic surgery. J Bone Joint Surg Am 2002 84A (4): 562-572.

  2. Jensen JS, Tondevold E. Mortality after hip fractures. Acta Orthop Scand 1979 50 (2): 161-167.

  3. Miller CW. Survival and ambulation following hip fracture. J Bone Joint Surg Am 1978 60 (7): 930-934.

  4. Sexon SB, Lehner JT. Factors affecting hip fracture mortality. J Orthop Trauma 1987; 1 (4): 298-305.

  5. Dahl E. Mortality and life expectancy after hip fractures. Acta Orthop Scand 1980; 51 (1): 163-170.

  6. Keene GS, Parker MJ, Pryor GA. Mortality and morbidity after hip fractures. BMJ 1993; 307 (6914): 1248-1250.

  7. Tierney GS, Goulet JA, Greenfield ML, Port FK. Mortality after fracture of the hip in patients who have end-stage renal disease. J Bone Joint Surg Am 1994; 76 (5): 709-712.

  8. Holt EM, Evans RA, Hindley CJ, Metcalfe JW. 1000 femoral neck fractures: The effect of pre-injury morbility and surgical experience on outcome. Injury 1994; 25 (2): 91-95.

  9. Kolind-Sorensen V. Mortality in intertrochanteric fracture of the femoral neck. Acta Orthop Scand 1975; 46 (4): 654-656.

  10. White BL, Fisher WD, Laurin CA. Rate of mortality for elderly patients after fracture of the hip in the 1980’s. J Bone Joint Surg Am 1987; 69: 1335-1340.

  11. Cabanela ME. Femoral neck fractures: to pin or not. Orthopedics 1999; 22 (9): 833-834.

  12. Bredahl C, Nyholm B, Hindsholm KB, Mortensen JS, Olesen AS. Mortality after hip fracture: results of operation within 12 h of admission. Injury 1992; 23(2): 83-86.

  13. Hendrikson R, Ogden JA. Geriatric hip fractures: How to limit their consequences. Geriatrics 1984; 39 (8): 75-78, 80, 82-84.

  14. Kuokkanen HO, Korkala OL. Factors affecting survival of patients with hip fractures. Acta Orthop Belg 1992; 58 (4): 425-428.

  15. Stavrou ZP, Erginousakis DA, Loizides AA, Tzevelekos SA, Papagiannakos KJ. Mortality and rehabilitation following hip fracture. A study of 202 elderly patients. Acta Orthop Scand Suppl 1997; 275: 89-91.

  16. Johansson T, Jacobsson SA, Ivarsson I, Knutsson A, Wahlstrom O. Internal fixation versus total hip arthroplasty in the treatment of displaced femoral neck fractures: a prospective randomized study of 100 hips. Acta Orthop Scand 2000; 71 (6): 597-602.

  17. Calder SJ, Anderson GH, Jagger C, Harper WM, Gregg PJ. Unipolar or bipolar prosthesis for displaced intracapsular hip fracture in octogenarians: a randomized prospective study. J Bone Joint Surg Br 1996; 78: 391-394.

  18. Koval KJ, Maurer SG, Su ET, Aharonoff GB, Zuckerman JD. The effects of nutritional status on outcome after hip fracture. J Orthop Trauma 1999; 13: 164-169.

  19. Kyle RF, Cabanela ME, Russell TA, Swiontkowski MF, Winquist RA et al. Fractures of the proximal part of the femur. Instr Course Lect 1995; 44: 227-253.

  20. Gallagher JC, Melton LJ, Riggs BL, Bergstrath E. Epidemiology of fractures of the proximal femur in Rochester, Minnesota. Clin Orthop 1980; 150: 163-171.

  21. Jensen JS, Tondevold E, Sorensen PH. Social rehabilitation following hip fractures. Acta Orthop Scand 1979; 50 (6 pt 2): 777-785.

  22. Miller K, Atzenhofer K, Gerber G, Reichel M. Risk prediction in operatively treated fractures of the hip. Clin Orthop 1993; 293: 148-52.

  23. Lyritis GP, Johnell O. Orthopaedic management of hip fracture. Bone 1993; 14 (suppl 1): S11-17.

  24. Koval KJ, Aharonoff GB, Rosenberg AD, Schmigelski C, Bernstein RL, Zuckerman JD. Hip fracture in the elderly: the effect of anesthetic technique. Orthopedics 1999; 22 (1): 31-34.

  25. Jonsson B, Johnell O, Redlund-Johnell I, Sernbo I. Function 10 years after hip fracture. 74 patients after internal fixation. Acta Orthop Scand 1993; 64 (6): 645-646.

  26. Lee TH. Reducing cardiac risk in noncardiac surgery. N Engl J Med 1999; 341: 1838-1840.

  27. Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Polanczyk CA et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999; 100: 1043-1049.

  28. Mangano DT, Goldman L. Preoperative assessment of patients with known or suspected coronary disease. N Engl J Med 1995; 333: 1750-1756.

  29. Detsky AS, Abrams HB, McLaughlin JR, Drucker DJ, Sasson Z et al. Predicting cardiac complications in patients undergoing non-cardiac surgery. J Gen Intern Med 1986; 1: 211-219.

  30. Dearborn JT, Harris WH. Postoperative mortality after total hip arthroplasty. An analysis of deaths after two thousand seven hundred and thirty-six procedures. J Bone Joint Surg Am 1998; 80: 1291-1294.

  31. INEGI. Dirección General de Estadística. México, 2002.

  32. INEGI. Tabulados Básicos. Estados Unidos Mexicanos. XII Censo General de Población y Vivienda, 2000. México, 2001.

  33. INEGI. Estados Unidos Mexicanos. XII Censo General de Población y Vivienda, 2000. Tabulados de la Muestra Censal. Cuestionario Ampliado. México, 2000.

  34. Instituto Mexicano del Seguro Social-Dirección de Prestaciones Médicas, Informe de Resultados 2001 de la Dirección de Prestaciones Médicas.

  35. Aharonoff GB, Koval KJ, Skovron ML, Zuckerman JD. Hip fractures in the elderly: predictors of one year mortality. J Orthop Trauma 1997; 11: 162-165.

  36. Sauaia A, Moore FA, Moore EE, Moser KS, Brennan R et al. Epidemiology of trauma deaths: A reassessment. J Trauma 1995; 38: 185-193.

  37. Tornetta P III, Mostafavi H, Riina J, Turen C, Reimer B et al. Morbidity and mortality in elderly trauma patients. J Trauma 1999; 46: 702-706.

  38. Parvizi J, Johnson BG, Rowland C, Ereth MH, Lewallen DG. Thirty-day mortality after elective total hip arthroplasty. J Bone Joint Surg Am 2001; 83: 1524-1528.

  39. Pankovich AM. Primary internal fixation of femoral neck fractures. Arch Surg 1975; 110 (1): 20-26.

  40. Beals RK. Survival following hip fracture. Long follow-up of 607 patients. J Chronic Dis 1972; 25 (4): 235-244.

  41. Chan RN, Hoskinson J. Thompson prosthesis for fractured neck of femur. A comparison of surgical approaches. J Bone Joint Surg Br 1975; 57 (4): 437-443.

  42. Kolind-Sorensen V. Mortality in intertrochanteric fracture of the femoral neck. Acta Orthop Scand 1975; 46 (4): 654-656.




2020     |     www.medigraphic.com