Influence of Risk Factors and Comorbidities on Postoperative Complications and Outcomes after Hip Fracture Surgery in the Elderly
Background: Older adults who sustain hip fractures usually have multiple comorbidities that may impact their treatment and outcome. This study was conducted with the aim to analyze the risk factors that contribute to falls in elderly individuals and analyze the effect of comorbidities on the outcom...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2022-12-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/388 |
| _version_ | 1797979758609301504 |
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| author | Khazi Syed Asif Hussain Aluka Sundeep Kund Reddy Mayani Raju Chandrashekhar Patnala |
| author_facet | Khazi Syed Asif Hussain Aluka Sundeep Kund Reddy Mayani Raju Chandrashekhar Patnala |
| author_sort | Khazi Syed Asif Hussain |
| collection | DOAJ |
| description |
Background: Older adults who sustain hip fractures usually have multiple comorbidities that may impact their treatment and outcome. This study was conducted with the aim to analyze the risk factors that contribute to falls in elderly individuals and analyze the effect of comorbidities on the outcome and the treatment in elderly patients with hip fractures.
Methods: This cohort study was conducted on patients with hip fractures. We prospectively analyzed 140 individuals with geriatric hip fractures who had undergone surgery. The Charlson Comorbidity Index (CCI) and American Society of Anesthesiology (ASA) score of each geriatric hip fracture patient were calculated based on data obtained from medical records. Clinical assessment was assessed using a modified Harris Hip Score (HHS) during each visit.
Results: The mean age of patients was 72.21 ± 12.2 years. Their mean CCI and ASA was 1.02 ± 0.3 and 2.0 ± 0.53, respectively, and both were significantly associated with time-to-surgery (P < 0.001) and surgical treatment (P < 0.001). The length of hospital stay, duration of postoperative intensive care, and hospital expenses were associated with both CCI (P = 0.037) and ASA (P = 0.002). The greater the CCI and ASA scores were, the higher the chances of developing postoperative complications were (X2 = 15.724; P = 0.001). Delirium was the most common postoperative complication (15.7%), and pulmonary infection (11.4%) was the most fatal complication.
Conclusion: Patients with high CCI and ASA grading, and revision surgery were at high risk of postoperative complications, morbidity, and mortality. Orthogeriatric care offers the best chance for a successful outcome through efficient medical co- management of these patients.
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| first_indexed | 2024-04-11T05:44:43Z |
| format | Article |
| id | doaj.art-ab58c343406b4a27bf2a1ea96092e7bd |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-04-11T05:44:43Z |
| publishDate | 2022-12-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-ab58c343406b4a27bf2a1ea96092e7bd2022-12-22T04:42:18ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002022-12-018410.18502/jost.v8i4.10452Influence of Risk Factors and Comorbidities on Postoperative Complications and Outcomes after Hip Fracture Surgery in the ElderlyKhazi Syed Asif Hussain0Aluka Sundeep Kund Reddy1Mayani Raju2Chandrashekhar Patnala3Department of Orthopedics, Nizam’s Institute of Medical Sciences, Panjagutta, Hyderabad, IndiaDepartment of Orthopedics, Nizam’s Institute of Medical Sciences, Panjagutta, Hyderabad, India Department of Orthopedics, Nizam’s Institute of Medical Sciences, Panjagutta, Hyderabad, IndiaDepartment of Orthopedics, Nizam’s Institute of Medical Sciences, Panjagutta, Hyderabad, India Background: Older adults who sustain hip fractures usually have multiple comorbidities that may impact their treatment and outcome. This study was conducted with the aim to analyze the risk factors that contribute to falls in elderly individuals and analyze the effect of comorbidities on the outcome and the treatment in elderly patients with hip fractures. Methods: This cohort study was conducted on patients with hip fractures. We prospectively analyzed 140 individuals with geriatric hip fractures who had undergone surgery. The Charlson Comorbidity Index (CCI) and American Society of Anesthesiology (ASA) score of each geriatric hip fracture patient were calculated based on data obtained from medical records. Clinical assessment was assessed using a modified Harris Hip Score (HHS) during each visit. Results: The mean age of patients was 72.21 ± 12.2 years. Their mean CCI and ASA was 1.02 ± 0.3 and 2.0 ± 0.53, respectively, and both were significantly associated with time-to-surgery (P < 0.001) and surgical treatment (P < 0.001). The length of hospital stay, duration of postoperative intensive care, and hospital expenses were associated with both CCI (P = 0.037) and ASA (P = 0.002). The greater the CCI and ASA scores were, the higher the chances of developing postoperative complications were (X2 = 15.724; P = 0.001). Delirium was the most common postoperative complication (15.7%), and pulmonary infection (11.4%) was the most fatal complication. Conclusion: Patients with high CCI and ASA grading, and revision surgery were at high risk of postoperative complications, morbidity, and mortality. Orthogeriatric care offers the best chance for a successful outcome through efficient medical co- management of these patients. https://jost.tums.ac.ir/index.php/jost/article/view/388HipRisk FactorsComorbidity |
| spellingShingle | Khazi Syed Asif Hussain Aluka Sundeep Kund Reddy Mayani Raju Chandrashekhar Patnala Influence of Risk Factors and Comorbidities on Postoperative Complications and Outcomes after Hip Fracture Surgery in the Elderly Journal of Orthopedic and Spine Trauma Hip Risk Factors Comorbidity |
| title | Influence of Risk Factors and Comorbidities on Postoperative Complications and Outcomes after Hip Fracture Surgery in the Elderly |
| title_full | Influence of Risk Factors and Comorbidities on Postoperative Complications and Outcomes after Hip Fracture Surgery in the Elderly |
| title_fullStr | Influence of Risk Factors and Comorbidities on Postoperative Complications and Outcomes after Hip Fracture Surgery in the Elderly |
| title_full_unstemmed | Influence of Risk Factors and Comorbidities on Postoperative Complications and Outcomes after Hip Fracture Surgery in the Elderly |
| title_short | Influence of Risk Factors and Comorbidities on Postoperative Complications and Outcomes after Hip Fracture Surgery in the Elderly |
| title_sort | influence of risk factors and comorbidities on postoperative complications and outcomes after hip fracture surgery in the elderly |
| topic | Hip Risk Factors Comorbidity |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/388 |
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