Mortality following surgery for proximal femoral fractures in centenarians

Forster, M.C.; Calthorpe, D.

doi:10.1016/s0020-1383(00)00049-8

Cited by 51 publications

(45 citation statements)

References 4 publications

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“…While the inhospital mortality is between 7.7%-31%, as reported by the literature, the short-and medium-term mortality rates are particularly high in this group of extreme age [2,[5][6][7][8]13]. The findings of this retrospective analysis of the centenarians admitted to our OGU are consistent with the existing literature in terms of both in-hospital and 1-year mortality rates.…”

Section: Discussionsupporting

confidence: 89%

“…They found that 28.6% of the centenarian patients were able to return to their homes, as opposed to a discharge toward a long-term facility, versus 69.2% of the normal age group. Mortality rates were reported to be similar to the study from Forster et al, [5] with an in-hospital mortality of 11.1%, and 1-and 4-month mortality rates of 33.3% and 50%, respectively.…”

Section: Review Of the Literaturesupporting

confidence: 82%

“…At the time of the manuscript preparation, two patients are still alive. The small sample size does not allow us to make reliable estimates of the mortality rate, but we confirm the high risk of postoperative death among centenarians undergoing hip fracture surgery [2,5,6,8,13]. Due to the overall short survival of the patients, which in one case was 14 days and in four cases were 40-43 days following surgery, data regarding rehabilitation are difficult to retrieve.…”

Section: Centenarians Admitted To the Ogu: Review Of The Activitymentioning

confidence: 70%

“…The first study we found was a retrospective case series analysis of 13 subjects [5]. The study reviewed the local orthopedic activity of centenarians admitted to the Derbyshire Royal Infirmary (UK) between 1988-1999.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…A number of studies have already described HF in the elderly, but the available literature focusing on centenarians is limited [2,[5][6][7][8]. The present manuscript reviews the activity of our Orthogeriatric Unit (OGU) at San Gerardo University Hospital (Northern Italy), which is a reference center for hip fractures in Lombardy region [9,10].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Hip fracture in centenarians: Retrospective analysis of an orthogeriatric unit reveals the limitations of the current research

Mazzola¹,

Perego²,

Picone³

et al. 2015

Glob Anesth Perioper Med

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Life expectancy of Italian people is among the highest in the world, at 80 years for males and 85 years for females. Estimates from the National Institute of Statistics show that people aged 65 years and older represent more than 21% of the Italian population. Among them, centenarians represent the age group with the highest growing rate. Hip fracture incidence increases with advancing age, and currently represents one of the major causes of hospitalization in the elderly. Many studies regarding hip fracture in the elderly have been published, but research focusing on centenarians is still very limited despite their growing trend. This manuscript reviews the activity of the Orthogeriatric Unit at San Gerardo University Hospital (Northern Italy) from its establishment in 2007 until the present, and enlightens the limitations of the research in this area reviewing the literature currently available.Over a 7-year period, we admitted a small population of 10 centenarian female patients, all of whom underwent surgery. Their in-hospital (1 out of 10) and 1-year mortality rates (8 out of 10) are consistent with the existing literature.Centenarians pose an increasing challenge to physicians and surgeons. Rates of recovery of the pre-fracture condition are undoubtedly lower than those in younger geriatric patients, but surgery and early rehabilitation should not be denied solely due to the extreme age of these subjects. However, the research in this area presents several limitations up to now. The available studies are sparse, describe small populations, and are generally a single-center retrospective review of the local hospital admissions registry. Moreover, the objectives and outcome measurements vary considerably between studies, making a statistical comparison unfeasible.In this scenario, the implementation and analysis of large-scale databases would allow appropriate research among centenarians, including cost-effectiveness of specific surgical treatments.

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