Pre-operative Factors Predicting Mortality in Six Months and Functional Recovery in Elderly Patients with Hip Fractures
Introduction: This study aimed to determine on-admission and perioperative factors predicting six-month mortality and functional recovery in Vietnamese patients with hip fracture. Materials and methods: Between April 2020 and July 2021, 118 patients participated in this prospective study. Patients’...
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| Format: | Article |
| Language: | English |
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Malaysian Orthopaedic Association
2023-03-01
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| Series: | Malaysian Orthopaedic Journal |
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| Online Access: | http://morthoj.org/2023/v17n1/elderly-with-hip-fractures.pdf |
| _version_ | 1827939555096920064 |
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| author | Nam NH Minh ND Hai TX Sinh CT Loi CB Anh LT |
| author_facet | Nam NH Minh ND Hai TX Sinh CT Loi CB Anh LT |
| author_sort | Nam NH |
| collection | DOAJ |
| description | Introduction: This study aimed to determine on-admission and perioperative factors predicting six-month mortality and functional recovery in Vietnamese patients with hip fracture. Materials and methods: Between April 2020 and July 2021, 118 patients participated in this prospective study. Patients’ data were collected from medical records. Harris hip score (HHS) was used to evaluate the functional recovery six months after fractures. The obtained data were analysed using a univariate and multivariate model.
Results: The mean age of the participants was 79.5±9.4 years and 68.6% of the patients were female. The six-month mortality rate was 5.9% and independently associated with age (odds ratio (OR): 3.512, 95% confidence interval (CI) 1.538 – 8.019; P<0.001, patients aged >80 years vs those aged ≤80 years) and hypoproteinemia (OR: 2.859, 95% CI: 1.001 – 8.166, P=0.049). Among 111 survivors there were 66 (59.5%) of patients with a good functional recovery. Patients aged >80 years had a higher risk of poor functional outcome (OR: 3.167, 95% CI: 1.386 – 7.235, P: 0.006) compared to those aged ≤ 80 years. No significant correlations between other clinical (gender, body mass index, comorbidities, type of fractures or surgery, time until surgery) or laboratory parameters (anaemia, hyperglycemia, marked elevation of C reactive protein level, electrolyte abnormalities, elevated urea) and mortality or functional outcome were found. Conclusion: Advanced age is the most important factor affecting both mortality and functional outcome while hypoproteinemia is associated with a higher risk of mortality in elderly patients with hip fractures. |
| first_indexed | 2024-03-13T08:56:19Z |
| format | Article |
| id | doaj.art-5b58655c68ed4c25baed76c534732f41 |
| institution | Directory Open Access Journal |
| issn | 1985-2533 2232-111X |
| language | English |
| last_indexed | 2024-03-13T08:56:19Z |
| publishDate | 2023-03-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj.art-5b58655c68ed4c25baed76c534732f412023-05-29T01:50:26ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2023-03-01171101710.5704/MOJ.2303.002Pre-operative Factors Predicting Mortality in Six Months and Functional Recovery in Elderly Patients with Hip FracturesNam NH0 Minh ND1Hai TX2Sinh CT3 Loi CB4Anh LT5Department of Orthopaedics, Nghe An Orthopaedic and Trauma Hospital, Nghe An, VietnamDepartment of Orthopaedics, National Hospital of Acupuncture, Ha Noi, VietnamDepartment of Pediatrics, Nghe An Obstetrics and Pediatrics Hospital, Nghe An, VietnamDepartment of Orthopaedics Vinh Medical University, Nghe An, VietnamDepartment of Parasitology, National Institute of Malariology, Parasitology and EntomologyDepartment of Parasitology, Vietnam Military Medical University, Hanoi, VietnamIntroduction: This study aimed to determine on-admission and perioperative factors predicting six-month mortality and functional recovery in Vietnamese patients with hip fracture. Materials and methods: Between April 2020 and July 2021, 118 patients participated in this prospective study. Patients’ data were collected from medical records. Harris hip score (HHS) was used to evaluate the functional recovery six months after fractures. The obtained data were analysed using a univariate and multivariate model. Results: The mean age of the participants was 79.5±9.4 years and 68.6% of the patients were female. The six-month mortality rate was 5.9% and independently associated with age (odds ratio (OR): 3.512, 95% confidence interval (CI) 1.538 – 8.019; P<0.001, patients aged >80 years vs those aged ≤80 years) and hypoproteinemia (OR: 2.859, 95% CI: 1.001 – 8.166, P=0.049). Among 111 survivors there were 66 (59.5%) of patients with a good functional recovery. Patients aged >80 years had a higher risk of poor functional outcome (OR: 3.167, 95% CI: 1.386 – 7.235, P: 0.006) compared to those aged ≤ 80 years. No significant correlations between other clinical (gender, body mass index, comorbidities, type of fractures or surgery, time until surgery) or laboratory parameters (anaemia, hyperglycemia, marked elevation of C reactive protein level, electrolyte abnormalities, elevated urea) and mortality or functional outcome were found. Conclusion: Advanced age is the most important factor affecting both mortality and functional outcome while hypoproteinemia is associated with a higher risk of mortality in elderly patients with hip fractures.http://morthoj.org/2023/v17n1/elderly-with-hip-fractures.pdfhip fracturemortalityfunctional recoveryharris hip scorevietnam |
| spellingShingle | Nam NH Minh ND Hai TX Sinh CT Loi CB Anh LT Pre-operative Factors Predicting Mortality in Six Months and Functional Recovery in Elderly Patients with Hip Fractures Malaysian Orthopaedic Journal hip fracture mortality functional recovery harris hip score vietnam |
| title | Pre-operative Factors Predicting Mortality in Six Months and Functional Recovery in Elderly Patients with Hip Fractures |
| title_full | Pre-operative Factors Predicting Mortality in Six Months and Functional Recovery in Elderly Patients with Hip Fractures |
| title_fullStr | Pre-operative Factors Predicting Mortality in Six Months and Functional Recovery in Elderly Patients with Hip Fractures |
| title_full_unstemmed | Pre-operative Factors Predicting Mortality in Six Months and Functional Recovery in Elderly Patients with Hip Fractures |
| title_short | Pre-operative Factors Predicting Mortality in Six Months and Functional Recovery in Elderly Patients with Hip Fractures |
| title_sort | pre operative factors predicting mortality in six months and functional recovery in elderly patients with hip fractures |
| topic | hip fracture mortality functional recovery harris hip score vietnam |
| url | http://morthoj.org/2023/v17n1/elderly-with-hip-fractures.pdf |
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