One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registry
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 displa...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-018-0936-5 |
| _version_ | 1798041362152554496 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Simon Kwoon-Ho Chow |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T22:20:29Z |
| format | Article |
| id | doaj.art-db4ae658f8564874afa2c3d268b70370 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T22:20:29Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-db4ae658f8564874afa2c3d268b703702022-12-22T04:00:09ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-09-011311610.1186/s13018-018-0936-5One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registrySimon Kwoon-Ho Chow0Jiang-hui Qin1Ronald Man-Yeung Wong2Wai-Fan Yuen3Wai-Kit Ngai4Ning Tang5Chor-Yin Lam6Tak-Wing Lau7Kin-Bong Lee8Kwai Ming Siu9Sze-Hung Wong10Tracy Y. Zhu11Wing-Hoi Cheung12Kwok-Sui Leung13Department of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong KongDepartment of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital, School of Medicine, Nanjing UniversityDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong KongDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong KongDepartment of Orthopaedics and Traumatology, North District HospitalDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong KongDepartment of Orthopaedics and Traumatology, Tuen Mun HospitalDepartment of Orthopaedics and Traumatology, Queen Mary HospitalDepartment of Orthopaedics and Traumatology, Queen Elizabeth HospitalDepartment of Orthopaedics and Traumatology, Princess Margaret HospitalDepartment of Acute and Rehabilitative Orthopaedics and Traumatology, Caritas Medical CentreDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong KongDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong KongDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong KongAbstract 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.http://link.springer.com/article/10.1186/s13018-018-0936-5Fragility Fracture RegistryIntracapsular fragility hip fractureOne-year mortalityRisk factors |
| spellingShingle | 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 One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registry Journal of Orthopaedic Surgery and Research Fragility Fracture Registry Intracapsular fragility hip fracture One-year mortality Risk factors |
| title | One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registry |
| title_full | One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registry |
| title_fullStr | One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registry |
| title_full_unstemmed | One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registry |
| title_short | One-year mortality in displaced intracapsular hip fractures and associated risk: a report of Chinese-based fragility fracture registry |
| title_sort | one year mortality in displaced intracapsular hip fractures and associated risk a report of chinese based fragility fracture registry |
| topic | Fragility Fracture Registry Intracapsular fragility hip fracture One-year mortality Risk factors |
| url | http://link.springer.com/article/10.1186/s13018-018-0936-5 |
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