In-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure
Background/Aim. Hip fracture remains the leading cause of death in trauma among elderly population and is a great burden to national health services. In-patient death analysis is important to evaluate risk factors, make appropriate selection and perform adequate treatment of infections for...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2016-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500088S.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Background/Aim. Hip fracture remains the leading cause of death in trauma
among elderly population and is a great burden to national health services.
In-patient death analysis is important to evaluate risk factors, make
appropriate selection and perform adequate treatment of infections for
patients to be operated. The aim of this study was to analyze in-hospital
mortality in proximal femoral fracture patients operatively treated with hip
arthroplasty procedure. Methods. We followed 622 consecutive patients, and
collected data about age, gender, the presence of infection preoperatively
and postoperatively, American Society of Anesthesiologists (ASA) score,
diabetes mellitus and the type of surgical procedure. Postoperative
infections included pneumonia, urinary tract infections, surgical site
infections and sepsis. Results. We found a statistically significant
influence of preoperative and postoperative infection presence for
in-patient mortality with relative risk for lethal outcome of 4.53 (95% CI:
1.44-14.22) for patients with preoperative infection and 7.5 (95% CI:
1.90-29.48) for patients with postoperative infection. We did not confirm a
statistically significant influence of age, gender, ASA score, diabetes
mellitus or the type of surgical procedure for increased mortality rate.
Conclusion. Adequate preoperative selection, risk evaluation and adequate
treatment of infections are of the key importance for lowering the risk of
death in patients operated due to proximal femoral fracture and treated by
hip arthroplasty procedures. Special attention is to be paid for the
presence of preoperative and postoperative infections in patients
operatively treated due to the risk for increased in-hospital mortality. |
|---|---|
| ISSN: | 0042-8450 2406-0720 |