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Nonagenarian hip fractures: Morbidity and mortality at a single institution.

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Citation: Journal of Clinical Orthopaedics & Trauma. 14:69-73, 2021 Mar.PMID: 33717899Institution: MedStar Franklin Square Medical CenterDepartment: Orthopaedic Oncology, National Center for Bone and Soft Tissue TumorsForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021 ISSN:

0976-5662

Name of journal: Journal of clinical orthopaedics and traumaAbstract: Conclusion: The nonagenarian hip fracture is associated with a higher 1-year mortality than prior reported rates of mortality for elderly hip fractures. Factors previously reported to influence the risk of 1-year mortality in hip fractures are not observed in the super-elderly. Copyright (c) 2020.Methods: A review of 216 hip fracture patients over 90 years of age were examined for immediate postoperative complications and in-house, 30-day, and 1-year mortality.Objectives: The incidence of hip fractures continues to rise dramatically, but few studies have examined these injuries in the population of individuals over 90 years of age, which is one of the fastest growing populations. We present the largest such study specifically examining hip fractures in the super-elderly.Results: Overall 1-year mortality was 38.1%. Statistically-significant risk factors for 1-year mortality included oncologic fracture, dementia, and CHF. Fracture classification and hospital length of stay were associated with perioperative complications including anemia and pneumonia.All authors: Bolton D, Bush C, Wallace MTFiscal year: FY2021Digital Object Identifier:

https://dx.doi.org/10.1016/j.jcot.2020.09.020

Date added to catalog: 2021-11-01

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Title notes ( 5 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	33717899	Available		33717899

Conclusion: The nonagenarian hip fracture is associated with a higher 1-year mortality than prior reported rates of mortality for elderly hip fractures. Factors previously reported to influence the risk of 1-year mortality in hip fractures are not observed in the super-elderly. Copyright (c) 2020.

Methods: A review of 216 hip fracture patients over 90 years of age were examined for immediate postoperative complications and in-house, 30-day, and 1-year mortality.

Objectives: The incidence of hip fractures continues to rise dramatically, but few studies have examined these injuries in the population of individuals over 90 years of age, which is one of the fastest growing populations. We present the largest such study specifically examining hip fractures in the super-elderly.

Results: Overall 1-year mortality was 38.1%. Statistically-significant risk factors for 1-year mortality included oncologic fracture, dementia, and CHF. Fracture classification and hospital length of stay were associated with perioperative complications including anemia and pneumonia.

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