Demographic Insights into One-Year Mortality Following Proximal Femur Fracture Surgery in India
Introduction: Proximal femur fractures are a significant public health issue and a leading cause of morbidity and mortality in the elderly. It poses a remarkable burden on healthcare resources. Materials and Methods: Records of patients with proximal femur fracture operated during the study period (...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Indian Orthopaedic Research Group
2025-02-01
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| Series: | Journal of Orthopaedic Case Reports |
| Subjects: | |
| Online Access: | https://jocr.co.in/wp/2025/02/01/demographic-insights-into-one-year-mortality-following-proximal-femur-fracture-surgery-in-india/ |
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| Summary: | Introduction:
Proximal femur fractures are a significant public health issue and a leading cause of morbidity and mortality in the elderly. It poses a remarkable burden on healthcare resources.
Materials and Methods:
Records of patients with proximal femur fracture operated during the study period (July 01, 2017–May 31, 2020) in our institution were obtained from hospital management system and analyzed retrospectively.
Results:
Out of 1189 patients, 1101 met the inclusion criteria. About 66.21% were intertrochanteric, 28.52% were neck femur, and 5.26% were sub-trochanteric fractures. About 60.85% of patients were female. The mean age was 74.1 ± 9.22 years. Most injuries were domestic falls (89%) and left-sided (55%). The average delay in presentation to the hospital was 2.5 ± 6.62 days with mean length of stay being 11.34 ± 6.22 days and average pre-operative wait being 6.89 ± 3.34 days. Hypertension was the most common comorbid condition associated (45%) followed by diabetes (27%). About 4% also sustained other fractures; most common were distal end radius and proximal humerus fracture. Majority (63.7%) were operated between 3 and 7 days post-admission and the most common surgery performed was osteosynthesis with proximal femoral nail (39.69%). For mortality assessment, 34 patients died during hospital stay, 785 patients could be assessed and 282 were lost to follow-up. In-hospital mortality was 3.08%, 30-day mortality was 8.05% and 1-year mortality was 18.92%.
Conclusion:
An integrated multidisciplinary approach with fall prevention awareness should be promoted to decrease the overall morbidity and mortality rate. |
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| ISSN: | 2250-0685 2321-3817 |