Post-operative complications in elderly patients undergoing hip fracture surgery: An observational study
Background: Hip fractures in elderly patients are a significant health-care concern due to their high morbidity and mortality rates. Aims and Objectives: This study aims to analyze post-operative complications in this demographic to improve care strategies. Materials and Methods: This observat...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2024-03-01
|
| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/60356 |
| _version_ | 1797284661913714688 |
|---|---|
| author | Sanjeev Kumar Kare Korada Ravi Kumar Lukalapu Prasanna Kumar Nagendra Naidu B |
| author_facet | Sanjeev Kumar Kare Korada Ravi Kumar Lukalapu Prasanna Kumar Nagendra Naidu B |
| author_sort | Sanjeev Kumar Kare |
| collection | DOAJ |
| description | Background: Hip fractures in elderly patients are a significant health-care concern due to their high morbidity and mortality rates.
Aims and Objectives: This study aims to analyze post-operative complications in this demographic to improve care strategies.
Materials and Methods: This observational study included 100 patients aged between 65 and 90 years, undergoing hip fracture surgery. The cohort comprised 40% males and 60% females. Patients underwent either total hip replacement (30%) or internal fixation (70%). We tracked post-operative complications within the first 30 days, mortality and reoperation rates, and recovery and rehabilitation outcomes over 6 months.
Results: Post-operative complications were reported in several categories: Infection (10%), cardiovascular (15%), respiratory (12%), renal (5%), neurological (8%), and gastrointestinal (6%). The most common infections were superficial wound infections (6%) and deep infections (4%). Cardiovascular complications included arrhythmias (8%), myocardial infarction (4%), and venous thromboembolism (3%). Pneumonia (7%), acute respiratory distress syndrome (3%), and pulmonary embolism (2%) were the primary respiratory complications. The study also recorded a 4% 30-day mortality rate and a 7% reoperation rate. The average hospital stay was 7 days, with 60% of patients requiring post-discharge rehabilitation. At 6-month post-surgery, 70% of patients had achieved complete recovery.
Conclusion: The study highlights a significant incidence of post-operative complications among elderly patients undergoing hip fracture surgery. The findings underscore the need for comprehensive perioperative care and vigilant monitoring to mitigate these risks. The data also stress the importance of post-discharge rehabilitation in enhancing recovery outcomes. |
| first_indexed | 2024-03-07T17:51:44Z |
| format | Article |
| id | doaj.art-4f3c231a3894451a972e38b60e20b807 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-03-07T17:51:44Z |
| publishDate | 2024-03-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-4f3c231a3894451a972e38b60e20b8072024-03-02T13:54:02ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762024-03-01153191195https://doi.org/10.3126/ajms.v15i3.60356Post-operative complications in elderly patients undergoing hip fracture surgery: An observational studySanjeev Kumar Kare 0https://orcid.org/0009-0003-6448-3443Korada Ravi Kumar 1https://orcid.org/0009-0005-0324-2288Lukalapu Prasanna Kumar 2https://orcid.org/0009-0009-3620-6223Nagendra Naidu B 3https://orcid.org/0009-0007-3979-3553Assistant Professor, Department of Orthopaedics, Government Medical College, Srikakulam, Andhra Pradesh, India Assistant Professor, Department of Orthopaedics, Government Medical College, Srikakulam, Andhra Pradesh, India Associate Professor, Department of Orthopaedics, Government Medical College, Srikakulam, Andhra Pradesh, India Associate Professor, Department of Community Medicine, Government Medical College, Srikakulam, Andhra Pradesh, India Background: Hip fractures in elderly patients are a significant health-care concern due to their high morbidity and mortality rates. Aims and Objectives: This study aims to analyze post-operative complications in this demographic to improve care strategies. Materials and Methods: This observational study included 100 patients aged between 65 and 90 years, undergoing hip fracture surgery. The cohort comprised 40% males and 60% females. Patients underwent either total hip replacement (30%) or internal fixation (70%). We tracked post-operative complications within the first 30 days, mortality and reoperation rates, and recovery and rehabilitation outcomes over 6 months. Results: Post-operative complications were reported in several categories: Infection (10%), cardiovascular (15%), respiratory (12%), renal (5%), neurological (8%), and gastrointestinal (6%). The most common infections were superficial wound infections (6%) and deep infections (4%). Cardiovascular complications included arrhythmias (8%), myocardial infarction (4%), and venous thromboembolism (3%). Pneumonia (7%), acute respiratory distress syndrome (3%), and pulmonary embolism (2%) were the primary respiratory complications. The study also recorded a 4% 30-day mortality rate and a 7% reoperation rate. The average hospital stay was 7 days, with 60% of patients requiring post-discharge rehabilitation. At 6-month post-surgery, 70% of patients had achieved complete recovery. Conclusion: The study highlights a significant incidence of post-operative complications among elderly patients undergoing hip fracture surgery. The findings underscore the need for comprehensive perioperative care and vigilant monitoring to mitigate these risks. The data also stress the importance of post-discharge rehabilitation in enhancing recovery outcomes.https://www.nepjol.info/index.php/AJMS/article/view/60356elderly patients; hip fracture surgery; post-operative complications; rehabilitation; recovery |
| spellingShingle | Sanjeev Kumar Kare Korada Ravi Kumar Lukalapu Prasanna Kumar Nagendra Naidu B Post-operative complications in elderly patients undergoing hip fracture surgery: An observational study Asian Journal of Medical Sciences elderly patients; hip fracture surgery; post-operative complications; rehabilitation; recovery |
| title | Post-operative complications in elderly patients undergoing hip fracture surgery: An observational study |
| title_full | Post-operative complications in elderly patients undergoing hip fracture surgery: An observational study |
| title_fullStr | Post-operative complications in elderly patients undergoing hip fracture surgery: An observational study |
| title_full_unstemmed | Post-operative complications in elderly patients undergoing hip fracture surgery: An observational study |
| title_short | Post-operative complications in elderly patients undergoing hip fracture surgery: An observational study |
| title_sort | post operative complications in elderly patients undergoing hip fracture surgery an observational study |
| topic | elderly patients; hip fracture surgery; post-operative complications; rehabilitation; recovery |
| url | https://www.nepjol.info/index.php/AJMS/article/view/60356 |
| work_keys_str_mv | AT sanjeevkumarkare postoperativecomplicationsinelderlypatientsundergoinghipfracturesurgeryanobservationalstudy AT koradaravikumar postoperativecomplicationsinelderlypatientsundergoinghipfracturesurgeryanobservationalstudy AT lukalapuprasannakumar postoperativecomplicationsinelderlypatientsundergoinghipfracturesurgeryanobservationalstudy AT nagendranaidub postoperativecomplicationsinelderlypatientsundergoinghipfracturesurgeryanobservationalstudy |