Ulus Travma Acil Cerrahi Derg. Ahead of Print: UTD-69199

Factors Affecting 1 Year Mortality in Patients Over 65 Years of Age Who Were Operated Due To Hip Fracture

Zafer Güneþ¹, Eralp Erdoðan¹, Kubilay Uðurcan Ceritoglu², Cem Nuri Aktekin^3
1Ankara Training and Research Hospital
²Canakkale Onsekiz Mart University
³Private Clinic

Objectives: In this study, our objective was to investigate the factors that affect 1-year mortality in patients over 65 years of age who were hospitalized due to hip fracture.

Methods: This retrospective cohort study is based on data from our clinical archives collected between January 2013 and December 2021. All consecutive patients over 65 years of age with hip fractyres admitted to our hospital were considered for inclusion in the study.
Results: During the period from January 2013 to December 2021, 834 patients met the inclusion criteria. The one-year mortality rate was 33.5 % (279/834). The mean surgery time was 5.64 days in patients with 1-year mortality; and 4.50 days in patients who lived longer than one year (P = 0,001). The mean values of hemoglobin, creatinine, lymphocyte count, and albumin of patients in the one-year mortality group were 11.47 g/dL, 1.33 mg/dL, 1.10x103/μL and 3.42 g/L, respectively. The same values of those who survived for more than a year were 11.93 g/dL, 1.12 mg/dL, 1.35x103/μL and 3.68 g/L, respectively (P= 0.006, 0.002, 0.001 and 0,000, respectively).
Conclusions: We found that older patient age, delayed surgery, low albumin level, low total lymphocyte count, and high creatinine levels at hospital admission are associated with increased mortality after hip fracture. Comorbidities, number of comorbidities, transfusions, and ICU requirements were not associated with increased mortality, unlike the literature

Keywords: elderly, fracture, hip, mortality, prognostic factors

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Kalça Kýrýðý Nedeniyle Ameliyat Edilen 65 Yaþ Üzeri Hastalarda 1 Yýllýk Mortaliteyi Etkileyen Faktörler

Zafer Güneþ¹, Eralp Erdoðan¹, Kubilay Uðurcan Ceritoglu², Cem Nuri Aktekin^3
1Ankara Eðitim ve Araþtýrma Hastanesi
²Çanakkale Onsekiz Mart Üniversitesi
³Özel Muayenehane

Amaçlar: Bu çalýþmada amacýmýz kalça kýrýðý nedeniyle hastaneye yatýrýlan 65 yaþ üstü hastalarda 1 yýllýk mortaliteyi etkileyen faktörleri araþtýrmaktý.

Yöntemler: Bu retrospektif kohort çalýþmasý Ocak 2013 ile Aralýk 2021 arasýnda toplanan klinik arþivlerimizden alýnan verilere dayanmaktadýr. Hastanemize kalça kýrýðý nedeniyle yatýrýlan 65 yaþ üstü tüm hastalar çalýþmaya dahil edilmek üzere deðerlendirildi.
Sonuçlar: Ocak 2013 ile Aralýk 2021 arasýndaki dönemde 834 hasta dahil edilme kriterlerini karþýladý. Bir yýllýk mortalite oraný %33,5 (279/834) idi. 1 yýllýk mortalitesi olan hastalarda ortalama ameliyat süresi 5,64 gün; bir yýldan uzun yaþayan hastalarda ise 4,50 gündü (P = 0,001). Bir yýllýk mortalite grubundaki hastalarýn hemoglobin, kreatinin, lenfosit sayýsý ve albüminin ortalama deðerleri sýrasýyla 11,47 g/dL, 1,33 mg/dL, 1,10x103/μL ve 3,42 g/L idi. Bir yýldan fazla hayatta kalanlarýn ayný deðerleri sýrasýyla 11,93 g/dL, 1,12 mg/dL, 1,35x103/μL ve 3,68 g/L idi (sýrasýyla P= 0,006, 0,002, 0,001 ve 0,000).
Sonuçlar: Daha ileri hasta yaþý, gecikmiþ cerrahi, düþük albümin seviyesi, düþük toplam lenfosit sayýsý ve hastaneye yatýþta yüksek kreatinin seviyelerinin kalça kýrýðý sonrasý artan mortalite ile iliþkili olduðunu bulduk. Eþlik eden hastalýklar, eþlik eden hastalýklarýn sayýsý, transfüzyonlar ve yoðun bakým ünitesi gereksinimleri, literatürde bildirilenin aksine, artan mortalite ile iliþkili deðildi

Anahtar Kelimeler: ileri yaþ, kýrýk, kalça, mortalite, prognostik faktörler

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