Surgical treatment of hip fracture in centenarians: Complications and independent risk factors of death

Characteristics, comorbidity burden and outcomes in centenarians undergoing surgery in a university hospital: A case series

“…Indicators of biological age such as comorbidity burden and frailty may be more important predictors of postoperative outcomes in this population. For example, the CCI has been identified as an independent predictor of mortality in centenarians with hip fracture undergoing surgery, as has the functional ambulation category score [9] . The collection of the functional ambulation category score was not within the scope of our study, although this could be a useful measure in future prospective trials.…”

“…In a recent study of centenarians and nonagenarians undergoing hemiarthroplasty a linear association between age and postoperative complications was found, placing centenarians at the highest age-related risk following surgery [6] . The majority of surgical research on centenarians has been in the context of trauma and orthopaedic surgery, and few studies have provided a granular insight into the anaesthesia and perioperative course for these patients [7] , [8] , [9] . Accordingly, this case series aims to provide a detailed description of centenarians undergoing minor and major surgery at a single-centre university hospital.…”

Clinical and Demographic Characteristics of Centenarians versus Other Age Groups Over 75 Years with Hip Fractures

“…3,4 Studies on hip fractures in centenarians are limited in number of patients and show contradictory results. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] Differences have been described in relation to the type of fracture, [2][3][4][5][6][7][8] the relationship between time to surgery and outcomes 5 and the risk of complications during hospitalisation. 9 Discrepancies have also been published regarding short and long-term outcomes.…”

“…9 Discrepancies have also been published regarding short and long-term outcomes. [6][7][8]11,12 A recent study including more than 4000 centenarians with hip fracture focused exclusively on complications during hospitalization, but did not include outcomes related to mortality or functional status in the first month after the fracture. 10 Considering the above, the primary objective of this study was to describe the clinical characteristics, management, and outcomes of centenarians admitted with fragility hip fracture and to compare them with those observed in patients aged 75 to 79, 80 to 89 (octogenarians) and 90 to 99 years old (nonagenarians) using data from the Spanish National Hip Fracture Registry (Registro Nacional de Fracturas de Cadera, RNFC).…”

“…Intertrochanteric fractures were the most frequent in centenarians and also increased with ageing as observed in other studies from Spain and the United States. [4][5][6][7] In contrast, intracapsular fractures were reported to be more frequent in Denmark. 8 One out of two centenarians underwent surgery in less than 48 hours.…”