Clinical outcomes and hospital length of stay in 2,756 elderly patients with hip fractures: a comparison of surgical and non-surgical management

Tan, Stephen Thong Soon; Tan, Wei Ping Marcus; Jaipaul, Josephine; Chan, Siew Pang; Sathappan, Sathappan S

doi:10.11622/smedj.2016045

Cited by 37 publications

(24 citation statements)

References 19 publications

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“…UTI represent one of the most common bacterial infections in elderly patients with hip fractures . Causes for UTI in hip fracture patients are manifold, including postoperative urinary retention or neurogenic bladder dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Urinary tract infection in patients with hip fracture: An underestimated event?

Bliemel

Buecking

Hack

et al. 2017

Geriatrics Gerontology Int

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Section: Discussionmentioning

confidence: 99%

Urinary tract infection in patients with hip fracture: An underestimated event?

Bliemel

Buecking

Hack

et al. 2017

Geriatrics Gerontology Int

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“…Timing of surgery as well as other medical factors have been shown to influence the clinical outcomes of geriatric patients with hip fracture [8]. Surgical delay may lead to an increase in mortality and adverse clinical outcomes such as infection and pressure sores [9, 10]. Therefore, it is important to evaluate the patient’s condition for making an individual management plan.…”

Section: Introductionmentioning

confidence: 99%

Relationship between comorbidities and treatment decision-making in elderly hip fracture patients

Wei

Zeng²,

et al. 2019

Aging Clin Exp Res

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BackgroundElderly patients are at a higher risk for hip fracture. Moreover, hospitalized elderly patients with hip fracture are vulnerable to adverse outcomes including higher mortality rate and long-term disability. Treatment decision-making with respect to surgical procedure and perioperative management of these patients is typically challenging owing to the presence of multiple comorbid conditions.AimsThe purpose of this study was to investigate the relationship between comorbidities in elderly patients with hip fracture and the treatment decision-making.Methods884 geriatric patients (age ≥ 60 years) with hip fracture were included. Comorbidities related to age were measured using the Charlson Co-morbidity Index (CCI) and age-adjusted CCI. The CCI of each geriatric hip fracture patient was calculated based on data retrieved from the medical records. The relationship of CCI and age-adjusted CCI with surgical procedure, time-to-surgery, length of hospital stay, and perioperative management (transfusion, anti-coagulation, and analgesia) was assessed.ResultsMean age of patients was 78.01 ± 8.62 years. The mean CCI was 0.79 ± 0.036; the mean age-adjusted CCI was 4.15 ± 0.047. The CCI was significantly associated with time-to-surgery (P = 0.004), surgical treatment (P < 0.001), and transfusion (P = 0.023). The age-adjusted CCI was significantly associated with surgical treatment (P < 0.001), analgesia (P = 0.003) and transfusion (P < 0.001). The length of hospital stay was associated with both CCI (P = 0.041), age-adjusted CCI (P = 0.002), and hypertension (P = 0.012). Hospital expenses showed a significant association with CCI (P = 0.000), age-adjusted CCI (P = 0.029), osteoprosis (P = 0.007), and hypertension (P = 0.001).ConclusionIn this study, comorbidities were positively associated with surgical procedure and perioperative management of elderly patients with hip fracture.Electronic supplementary materialThe online version of this article (10.1007/s40520-019-01134-5) contains supplementary material, which is available to authorized users.

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“…Furthermore, higher rates of complications (12.5% vs. 6.6%) and mortality (7.4% vs. 1.7%) were observed among hip fracture patients managed conservatively than among those managed surgically. 29) In the current study, all patients were followed up for 12 months post-fracture, except for 33 patients who died during the 12-month follow-up. This can be considered a strength of this study.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Quality of Life and Functional Independence of Hip Fracture Patients: Data from a Single Center Follow-Up Study in Sri Lanka

Abeygunasekara

Lekamwasam

Lenora

et al. 2021

Ann Geriatr Med Res

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Hip fracture is considered the most ominous clinical outcome of osteoporosis because of the high mortality, morbidity, and healthcare costs. 1,2) Patients with hip fractures have higher mortality rates during their hospital stays and for years after discharge. 2) Following a hip fracture, mortality is higher during the initial 6 months than the next 6 months, and compared to that in an age-matched normal population, this increased mortality persists for several years. 3,4) Johnston et al. 5) observed that mortality among patients aged > 85 years with hip fractures tended to return to the level in the background population after 2-5 years, whereas increased

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Clinical outcomes and hospital length of stay in 2,756 elderly patients with hip fractures: a comparison of surgical and non-surgical management

Cited by 37 publications

References 19 publications

Urinary tract infection in patients with hip fracture: An underestimated event?

Urinary tract infection in patients with hip fracture: An underestimated event?

Relationship between comorbidities and treatment decision-making in elderly hip fracture patients

Quality of Life and Functional Independence of Hip Fracture Patients: Data from a Single Center Follow-Up Study in Sri Lanka

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