Mortality after hip fractures in Thailand

Chariyalertsak, Suwat; Suriyawongpisal, P.; Thakkinstain, Ammarin

doi:10.1007/s002640100270

Cited by 37 publications

(40 citation statements)

References 13 publications

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“…When mortality was analysed in our study, 60% of patients were either overweight (body mass index BMI 26-30) or obese (BMI>30). In Thailand, it was found that male gender, old age, chronic diseases, poor ambulation before fracture and nonoperative management were associated with increased mortality [2]. In our study, increased incidence of mortality was seen in patients with nonfunctional ambulation, male gender, cardiovascular disease, and two or more comorbid conditions.…”

Section: Discussionmentioning

confidence: 49%

Functional outcome, mortality and in-hospital complications of operative treatment in elderly patients with hip fractures in the developing world

Sepah

Khan

Ullah

2009

International Orthopaedics (SICOT)

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Hip fracture has been increasing in frequency for several decades, and 70-90% of patients who sustain a hip fracture survive for at least one year. Many of these survivors fail to regain their prefracture functional status. No work in this regard has been done in the developing world. Elderly patients with acute intertrochanteric fracture and fracture of the femoral neck were followed up prospectively for 12 months after surgery to record the mortality, morbidity, functional status and complications. Three hundred and forty-five patients (61% female) were assessed at six and 12 months after surgery, which included 62.9% intertrochanteric fractures and 37% femoral neck fractures. The mechanism of injury was from a fall in 67% of the cases. Nineteen patients died within six months after surgery while another eight died during the next six months. Obesity, male gender, multiple comorbidities and below normal ambulation status before fracture were identified as major determinants of bad functional outcome.

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Section: Discussionmentioning

confidence: 49%

Functional outcome, mortality and in-hospital complications of operative treatment in elderly patients with hip fractures in the developing world

Sepah

Khan

Ullah

2009

International Orthopaedics (SICOT)

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“…However, the most widely reported percentage is approximately 25% [9,10]. Chariyalertsaket al reported that the 1-year mortality rate of hip fracture patients in Thailand was 17% [5]. In this study, the 1-year mortality rate of hip fracture was 9.2% (male 9.4%, Table 2 Overall mortality (cumulative number of deaths).…”

Section: Discussionmentioning

confidence: 76%

“…The mortality rate during hospitalization was 2.1%. The 3-, 6-, and 12-month survival rates after hip fractures were 91%, 88% and 83%, respectively [5].…”

Section: Introductionmentioning

confidence: 99%

One-year mortality rate after osteoporotic hip fractures and associated risk factors in Police General Hospital

Amphansap

Nitiwarangkul

2015

Osteoporosis and Sarcopenia

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Objectives: The purpose of this study was to investigate the mortality rate and other associated risk factors a year after diagnosis of osteoporotic hip fracture. Methods: A prospective cohort study was carried out in 120 patients who were at least 50 years of age who presented with a hip fracture caused by a simple fall and were admitted to Police General Hospital in 2013. Background data, mortality rate and associated risk factors were collected and evaluated. Results: There were 88 females (73.33%) and 32 males (26.67%). The average age was 79.4 years. Eleven patients were deceased by the end of this study. The mortality rate was about 3.3 times higher when compared to the general population in the same age range (9.2% vs 2.28%). The survival rates for both sexes at 6 weeks, 6 months and 12 months after fracture were 94.2%, 93.3% and 90.8%, respectively. Higher mortality was associated with non-operative treatment only. Patients who were treated non-operatively had a 3.93 times higher mortality risk when compared to those who were treated operatively (23.8% vs 6.1%).Conclusions: This study shows that the one-year mortality rate of osteoporotic hip fracture patients who were 50 years or older was 9%. However, the rate increased after an osteoporotic hip fracture, especially within the first year post-fracture. Higher mortality was associated with non-operative treatment only while the other variables were not.

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“…Chariyalertsak et al found that the 3-, 6-and 12-month survival rates of patients with hip fracture were 91%, 88% and 83%, respectively, and male sex, age over 80 years, presence of chronic illnesses, poor pre-fracture walking ability and nonoperative treatment proved to be significant predictors of mortality [1].…”

Section: Discussionmentioning

confidence: 99%

Effect of surgical delay on early mortality in patients with femoral neck fracture

Sebestyén¹,

Boncz

Sándor

et al. 2007

International Orthopaedics (SICO

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The aim of this study was to investigate the relationship between the delay between surgical treatment and mortality occurring within 30 days post-injury in patients aged 60 or older with femoral neck fracture. Data derive from the nationwide database of the National Health Insurance Fund Administration. Logistic regression analysis was performed to analyse the relationship between 30-day mortality and surgical delay in four groups of patients operated on within 12 h, between 12-24 h, 24-48 h or over 48 h post-injury. There were 3,777 patients involved in the study. Mortality rates in the four groups were 7.7%, 10.5%, 10.5% and 9.4%, respectively. Univariate logistic regression analysis revealed a statistically significant increase in the mortality risk in the 12-24-h treatment group compared to the group treated within 12 h (odds ratio, OR 12-24h =1.413, confidence interval, CI 12-24h : 1.032-1.935; p =0.031).According to multiple regression analysis, all three groups (12-24 h, 24-48 h and over 48 h) showed a trend to increased mortality risks, but this was not statistically significant p= 0.106; : 0.932-2.056, p=0.108; OR >48h =1.246, CI >48h : 0.950-1.635, p=0.113). We can conclude that sex, age and accompanying diseases significantly influenced early mortality, while early post-operative complications did not have a significant impact on the mortality risks.

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Mortality after hip fractures in Thailand

Cited by 37 publications

References 13 publications

Functional outcome, mortality and in-hospital complications of operative treatment in elderly patients with hip fractures in the developing world

Functional outcome, mortality and in-hospital complications of operative treatment in elderly patients with hip fractures in the developing world

One-year mortality rate after osteoporotic hip fractures and associated risk factors in Police General Hospital

Effect of surgical delay on early mortality in patients with femoral neck fracture

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