One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registry View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Simon Kwoon-Ho Chow, Jiang-hui Qin, Ronald Man-Yeung Wong, Wai-Fan Yuen, Wai-Kit Ngai, Ning Tang, Chor-Yin Lam, Tak-Wing Lau, Kin-Bong Lee, Kwai Ming Siu, Sze-Hung Wong, Tracy Y. Zhu, Wing-Hoi Cheung, Kwok-Sui Leung

ABSTRACT

BACKGROUND: The purpose of this registry-based retrospective study was to investigate the risk factors related to one-year mortality in displaced intracapsular fragility hip fracture patients. METHODS: Patients were screened from the Fragility Fracture Registry. Inclusion criterion was displaced intracapsular hip fracture patients with atypical or pathological fractures excluded. One-year mortality was investigated against risk factors including age, gender, past medical history, pre-fracture mobility (PFM), pre-operation ASA grade, delayed surgery over 48 h, post-surgical complications, and length of stay at acute orthopedic ward (LOS). RESULTS: A total of 1050 patients were included for further analysis. Gross one-year mortality was 14.9%. One-year mortality was significantly higher in patients who received non-operative treatment and those who received surgery but delayed over 48 h after admission (both p < 0.001). Male gender (OR = 2.708), advanced age (OR = 1.359), higher risk ASA grades (III to V) (OR = 1.990), past history of gastrointestinal disease (OR = 1.671), and renal impairment (OR = 1.984) were related to higher one-year mortality. The mortality of patients in PFM grade 3 and LOS group 3 was significantly higher (OR = 2.240 and 1.722, respectively). CONCLUSIONS: Higher age, male gender, past gastrointestinal disease and renal impairment, ASA grade over 3, indoor confined pre-fracture ambulatory, and stay at hospital over 15 days were risk factors related to higher one-year mortality in surgically treated displaced intracapsular hip fracture patients. A multi-disciplinary approach is advised to patients identified with these risks factors and co-managed by orthopedic surgeons, geriatricians, and fracture liaison nurses. More... »

PAGES

235

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13018-018-0936-5

DOI

http://dx.doi.org/10.1186/s13018-018-0936-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1106947595

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30217215


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    "description": "BACKGROUND: The purpose of this registry-based retrospective study was to investigate the risk factors related to one-year mortality in displaced intracapsular fragility hip fracture patients.\nMETHODS: Patients were screened from the Fragility Fracture Registry. Inclusion criterion was displaced intracapsular hip fracture patients with atypical or pathological fractures excluded. One-year mortality was investigated against risk factors including age, gender, past medical history, pre-fracture mobility (PFM), pre-operation ASA grade, delayed surgery over 48\u00a0h, post-surgical complications, and length of stay at acute orthopedic ward (LOS).\nRESULTS: A total of 1050 patients were included for further analysis. Gross one-year mortality was 14.9%. One-year mortality was significantly higher in patients who received non-operative treatment and those who received surgery but delayed over 48\u00a0h after admission (both p\u2009<\u2009\u00a00.001). Male gender (OR\u2009=\u20092.708), advanced age (OR\u2009=\u20091.359), higher risk ASA grades (III to V) (OR\u2009=\u20091.990), past history of gastrointestinal disease (OR\u2009=\u20091.671), and renal impairment (OR\u2009=\u20091.984) were related to higher one-year mortality. The mortality of patients in PFM grade 3 and LOS group 3 was significantly higher (OR\u2009=\u20092.240 and 1.722, respectively).\nCONCLUSIONS: Higher age, male gender, past gastrointestinal disease and renal impairment, ASA grade over 3, indoor confined pre-fracture ambulatory, and stay at hospital over 15\u00a0days were risk factors related to higher one-year mortality in surgically treated displaced intracapsular hip fracture patients. A multi-disciplinary approach is advised to patients identified with these risks factors and co-managed by orthopedic surgeons, geriatricians, and fracture liaison nurses.", 
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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

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curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s13018-018-0936-5'

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Turtle is a human-readable linked data format.

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RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s13018-018-0936-5'


 

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