Article ; Online: Patient-specific factors affecting survival following hip fractures-a 14-year follow-up study in Finland.
2022 Volume 17, Issue 1, Page(s) 107
Abstract: The mortality of elderly hip fracture patients is high. Eighty-five percent of all patients were followed until death. The three most protective factors for 1-year survival were ASA class; BMI; and age, and the four most protective factors for 14-year ... ...
Abstract | The mortality of elderly hip fracture patients is high. Eighty-five percent of all patients were followed until death. The three most protective factors for 1-year survival were ASA class; BMI; and age, and the four most protective factors for 14-year survival were age; BMI; ASA class; and subtrochanteric fracture type. Objective: Hip fractures are associated with increased mortality. The purpose of this study was to evaluate the protective preoperative factors regarding the survival of short-term (1 year) and long-term (14 years) follow-up in a hip fracture cohort in Finland. Methods: A total of 486 patients, operated on in 2005 and 2006, were retrospectively evaluated. Survival was analyzed using Bayesian multivariate analysis and relative survival with the life table method. All patients were followed for a minimum of 14 years. Results: We analyzed 330 women and 156 men, whose mean ages were 82.4 and 72.0 years, respectively. The overall mortality rate was 7% at 1 month, 22% at 12 months, and 87% at 14 years. Protective factors against mortality at 1 year were ASA class (1-3), BMI ≥ 20 kg/m Conclusions: Protective factors for 1-year survival in order of importance were ASA class, BMI, and age, and, correspondingly, for 14-year survival, age, certain operative methods, BMI, and ASA class. The relative survival of hip fracture patients was lower than that of the general population. |
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MeSH term(s) | Aged ; Aged, 80 and over ; Bayes Theorem ; Female ; Finland/epidemiology ; Follow-Up Studies ; Hip Fractures ; Humans ; Male ; Retrospective Studies ; Risk Factors |
Language | English |
Publishing date | 2022-08-01 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2253231-6 |
ISSN | 1862-3514 ; 1862-3522 |
ISSN (online) | 1862-3514 |
ISSN | 1862-3522 |
DOI | 10.1007/s11657-022-01148-z |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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