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Analysis of risk factors for perioperative mortality in elderly patients with intertrochanteric fracture

  • Original Article • HIP - FRACTURES
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Objective

To investigate risk factors for perioperative death in elderly patients with intertrochanteric fracture.

Methods

Clinical data from 1051 cases with intertrochanteric fracture from March 2005 to March 2015 were reviewed and analyzed, and causes of death during the perioperative period were statistically analyzed. Various indicators were compared by t test and χ2 test. Multivariate analysis was performed using non-conditional logistic regression analysis.

Results

Chronic diseases of major organs (heart, brain, and lung), postoperative complications, and various indicators within 24 h after admission (albumin, hemoglobin, brain natriuretic peptide [BNP], glucose, creatinine, arterial blood pH, PaO2, and APACHE II) were statistically significantly different between patients who survived and those who died. Logistic regression analysis indicated that postoperative complications, APACHE II score, BNP, and chronic diseases of major organs were the risk factors for perioperative mortality in elderly patients with intertrochanteric fracture.

Conclusion

BNP and APACHE II score could be used as important reference indexes for predicting possible perioperative mortality in elderly patients with intertrochanteric fracture and chronic diseases of major organs. Complications after fracture may be also risk factors.

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References

  1. Abdelkhalek M, Ali AM, Abdelwahab M (2013) Cemented bipolar hemiarthroplasty with a cerclage cable technique for unstable intertrochanteric hip fractures in elderly patients. Eur J Orthop Surg Traumatol 23(4):443–448

    Article  PubMed  Google Scholar 

  2. Ha YC, Park YG, Nam KW et al (2015) Trend in hip fracture incidence and mortality in Korea: a prospective cohort study from 2002 to 2011. J Korean Med Sci 30(4):483–488

    Article  PubMed  PubMed Central  Google Scholar 

  3. Kesmezacar H, Ayhan E, Unlu MC et al (2010) Predictors of mortality in elderly patients with an intertrochanteric or a femoral neck fracture. J Trauma 68(1):153–158

    Article  PubMed  Google Scholar 

  4. Bilsel K, Erdil M, Gulabi D et al (2013) Factors affecting mortality after hip fracture surgery: a retrospective analysis of 578 patients. Eur J Orthop Surg Traumatol 23(8):895–900

    Article  PubMed  Google Scholar 

  5. Pean CA, Goch A, Christiano A et al (2015) Current practices regarding perioperative management of patients with fracture on antiplatelet therapy: a survey of orthopedic surgeons. Geriatr Orthop Surg Rehabil 6(4):289–294

    Article  PubMed  PubMed Central  Google Scholar 

  6. Simunovic N, Deveraux PJ, Sprague S et al (2010) Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis. CMAJ 182(15):1609–1616

    Article  PubMed  PubMed Central  Google Scholar 

  7. Shi L, Wang XC, Wang YS (2013) Artificial neural network models for predicting 1-year mortality in elderly patients with intertrochanteric fractures in China. Braz J Med Biol Res 46(11):993–999

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Zhao P, Lian X, Dou X (2015) Intertrochanteric hip fracture surgery in Chinese: risk factors for predicting mortality. Int J Clin Exp Med 8(2):2789–2793

    PubMed  PubMed Central  Google Scholar 

  9. Smektala R, Endres HG, Dasch B (2008) The effect of time to surgery on outcome in elderly patients with proximal femoral fractures. BMC Musculoskelet Disord 9(1):171

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bateman L, Vuppala S, Porada P et al (2012) Medical management in the acute hip fracture patient: a comprehensive review for the internist. Ochsner J 12(2):101–110

    PubMed  PubMed Central  Google Scholar 

  11. Ferré F, Minville V (2011) Preoperative management to reduce morbidity and mortality of hip fracture. Ann Fr Anesth Reanim 30(10):e45–e48

    Article  PubMed  Google Scholar 

  12. Taniguchi D, Fujiwara H, Kobashi H et al (2013) Successful treatment of concomitant ipsilateral intracapsular and extracapsular hip fractures. Orthopedics 36(6):837–839

    Article  PubMed  Google Scholar 

  13. Su H, Liu H, Liu J et al (2018) Elderly patients with intertrochanteric fractures after intramedullary fixation: analysis of risk factors for calf muscular vein thrombosis. Orthopade 47(4):341–346

    Article  PubMed  Google Scholar 

  14. Kara K, Gronewold J, Neumann T et al (2014) B-type natriuretic peptide predicts stroke of presumable cardioembolic origin in addition to coronary artery calcification. Eur J Neurol 21(6):914–921

    Article  CAS  PubMed  Google Scholar 

  15. Myoren T, Kobayashi S, Oda S et al (2016) An oxidative stress biomarker, urinary 8-hydroxy-2′-deoxyguanosine, predicts cardiovascular-related death after steroid therapy for patients with active cardiac sarcoidosis. Int J Cardiol 212:206–213

    Article  PubMed  Google Scholar 

  16. Garcea G, Ganga R, Neal CP et al (2010) Preoperative early warning scores can predict in-hospital mortality and critical care admission following emergency surgery. J Surg Res 159(2):729–734

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Trauma Orthopedics, Beijing Luhe Hospital Affiliated to Capital Medical University, No. 82, Xinhua South Road, Tongzhou District, Beijing, 101199, People’s Republic of China

    Fulong Zhao, Xuefei Wang, Yuechao Dou, Hailong Wang & Yakui Zhang

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  1. Fulong Zhao
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  2. Xuefei Wang
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  3. Yuechao Dou
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  4. Hailong Wang
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  5. Yakui Zhang
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Corresponding author

Correspondence to Yakui Zhang.

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The authors declare that we have no conflict of interest.

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Zhao, F., Wang, X., Dou, Y. et al. Analysis of risk factors for perioperative mortality in elderly patients with intertrochanteric fracture. Eur J Orthop Surg Traumatol 29, 59–63 (2019). https://doi.org/10.1007/s00590-018-2285-9

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  • DOI: https://doi.org/10.1007/s00590-018-2285-9

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