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...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2016-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500088S.pdf |
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| author | Starčević Srdjan Šuljagić Vesna Stamenković Dušica Bokonjić Dubravko Munitlak Staša |
| author_facet | Starčević Srdjan Šuljagić Vesna Stamenković Dušica Bokonjić Dubravko Munitlak Staša |
| author_sort | Starčević Srdjan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-9c1be7b0832f49f9b039ccd9d01acb83 |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-9c1be7b0832f49f9b039ccd9d01acb832025-08-20T03:18:56ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202016-01-0173325125510.2298/VSP150204088S0042-84501500088SIn-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedureStarčević Srdjan0Šuljagić Vesna1Stamenković Dušica2Bokonjić Dubravko3Munitlak Staša4Military Medical Academy, Clinic for Orthopedic Surgery and Traumatology, Belgrade, Serbia + University of Defense, Faculty of Medicine, Belgrade, SerbiaUniversity of Defense, Faculty of Medicine, Belgrade, Serbia + Military Medical Academy, Department for Hospital Infections Control, Belgrade, SerbiaMilitary Medical Academy, Department for Hospital Infections Control, Belgrade, Serbia + Military Medical Academy, Clinic for Anesthesiology and Intensive Care, Belgrade, SerbiaUniversity of Defense, Faculty of Medicine, Belgrade, Serbia + Military Medical Academy, National Poison Control Centre, Belgrade, SerbiaMilitary Medical Academy, Clinic for Orthopedic Surgery and Traumatology, Belgrade, SerbiaBackground/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.http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500088S.pdffemoral fracturesagedarthroplastycross infectionmortalityrisk factors |
| spellingShingle | Starčević Srdjan Šuljagić Vesna Stamenković Dušica Bokonjić Dubravko Munitlak Staša In-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure Vojnosanitetski Pregled femoral fractures aged arthroplasty cross infection mortality risk factors |
| title | In-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure |
| title_full | In-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure |
| title_fullStr | In-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure |
| title_full_unstemmed | In-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure |
| title_short | In-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure |
| title_sort | in hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure |
| topic | femoral fractures aged arthroplasty cross infection mortality risk factors |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500088S.pdf |
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