Abstract
Fractured neck of femur in elderly is associated with mortality which is reported in literature to vary between 20 and 40%. One of the factors which is suggested to be a risk factor is male sex. We reviewed 83 male necks of femur patients admitted over a period of a year to assess the patient’s physical status, influence of co-morbidities, postoperative course and mortality. The in-hospital mortality was 26.5% and 1-year mortality was 44.6%. The in-hospital mortality for female neck of femur patients during the same period was 18%. Increasing age, high ASA category and post-operative chest infections were associated with high peri-operative mortality, and fall sustained in an acute hospital ward was associated with high 1-year mortality in addition to ASA grade and chest infection. Patients who had a chest infection in the post-operative period had in-hospital mortality of 46.2% (P value 0.006) and a 1-year mortality of 73.1% (P value 0.001). Patients who fell in the ward as inpatients under geriatric care had 60% mortality.
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We acknowledge the cooperation and help extended by the medical records department of the Southampton University Hospitals Trust. We confirm that this study confirms to the current laws in United Kingdom.
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Kurup, H., Mehta, R. The male neck of femur. Arch Orthop Trauma Surg 126, 181–183 (2006). https://doi.org/10.1007/s00402-006-0121-x
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DOI: https://doi.org/10.1007/s00402-006-0121-x