Postoperative mortality following hip fracture surgery in older adults: a single-center retrospective study in the context of Taiwan’s transition to an aged society
Abstract As societies age, understanding the impact of comorbidities on postoperative outcomes following hip fracture surgery becomes increasingly critical. This single-center retrospective study examines the evolving risk factors for postoperative mortality following hip fracture surgery among olde...
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| Format: | Article |
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Nature Portfolio
2025-07-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-025-06181-9 |
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| author | Kuang-Ting Tsai Ting-Gang Guo Wen-Tien Wu Ru-Ping Lee Ting-Kuo Yao Ing-Ho Chen Jen-Hung Wang Kuang-Ting Yeh |
| author_facet | Kuang-Ting Tsai Ting-Gang Guo Wen-Tien Wu Ru-Ping Lee Ting-Kuo Yao Ing-Ho Chen Jen-Hung Wang Kuang-Ting Yeh |
| author_sort | Kuang-Ting Tsai |
| collection | DOAJ |
| description | Abstract As societies age, understanding the impact of comorbidities on postoperative outcomes following hip fracture surgery becomes increasingly critical. This single-center retrospective study examines the evolving risk factors for postoperative mortality following hip fracture surgery among older adults in Taiwan during its transition to an aged society. We analyzed data from 1,545 patients aged over 65 years who underwent hip fracture surgery at Hualien Tzu Chi Hospital between 2011 and 2020, comparing outcomes before and after 2018—the year Taiwan officially became an aged society. The overall one-year postoperative mortality rate was 6.0%. Significant predictors of increased mortality included advanced age, male sex, ORIF surgical approach, hepatic disease, coronary artery disease, and notably, in-hospital complications such as aspiration pneumonia and UGI bleeding. Our findings revealed that aspiration pneumonia’s impact on mortality intensified significantly in the post-2018 period, highlighting the changing risk profile as Taiwan’s population ages. This study provides critical insights for developing targeted interventions and specialized postoperative care protocols for elderly hip fracture patients, particularly focusing on respiratory care and dysphagia screening. These findings have important implications for healthcare systems adapting to demographic shifts toward super-aged societies. |
| format | Article |
| id | doaj-art-bb5fca1a4b1849e08d90c77dd93cac9c |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-bb5fca1a4b1849e08d90c77dd93cac9c2025-08-20T03:45:23ZengNature PortfolioScientific Reports2045-23222025-07-011511910.1038/s41598-025-06181-9Postoperative mortality following hip fracture surgery in older adults: a single-center retrospective study in the context of Taiwan’s transition to an aged societyKuang-Ting Tsai0Ting-Gang Guo1Wen-Tien Wu2Ru-Ping Lee3Ting-Kuo Yao4Ing-Ho Chen5Jen-Hung Wang6Kuang-Ting Yeh7School of Medicine, Tzu Chi UniversitySchool of Medicine, Tzu Chi UniversitySchool of Medicine, Tzu Chi UniversityInstitute of Medical Sciences, Tzu Chi UniversityDepartment of Orthopedics, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationSchool of Medicine, Tzu Chi UniversityDepartment of Medical Research, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationSchool of Medicine, Tzu Chi UniversityAbstract As societies age, understanding the impact of comorbidities on postoperative outcomes following hip fracture surgery becomes increasingly critical. This single-center retrospective study examines the evolving risk factors for postoperative mortality following hip fracture surgery among older adults in Taiwan during its transition to an aged society. We analyzed data from 1,545 patients aged over 65 years who underwent hip fracture surgery at Hualien Tzu Chi Hospital between 2011 and 2020, comparing outcomes before and after 2018—the year Taiwan officially became an aged society. The overall one-year postoperative mortality rate was 6.0%. Significant predictors of increased mortality included advanced age, male sex, ORIF surgical approach, hepatic disease, coronary artery disease, and notably, in-hospital complications such as aspiration pneumonia and UGI bleeding. Our findings revealed that aspiration pneumonia’s impact on mortality intensified significantly in the post-2018 period, highlighting the changing risk profile as Taiwan’s population ages. This study provides critical insights for developing targeted interventions and specialized postoperative care protocols for elderly hip fracture patients, particularly focusing on respiratory care and dysphagia screening. These findings have important implications for healthcare systems adapting to demographic shifts toward super-aged societies.https://doi.org/10.1038/s41598-025-06181-9Geriatric hip fracturesPostoperative mortalityAged societyHealth-care disparitiesAspiration pneumoniaGastrointestinal hemorrhage |
| spellingShingle | Kuang-Ting Tsai Ting-Gang Guo Wen-Tien Wu Ru-Ping Lee Ting-Kuo Yao Ing-Ho Chen Jen-Hung Wang Kuang-Ting Yeh Postoperative mortality following hip fracture surgery in older adults: a single-center retrospective study in the context of Taiwan’s transition to an aged society Scientific Reports Geriatric hip fractures Postoperative mortality Aged society Health-care disparities Aspiration pneumonia Gastrointestinal hemorrhage |
| title | Postoperative mortality following hip fracture surgery in older adults: a single-center retrospective study in the context of Taiwan’s transition to an aged society |
| title_full | Postoperative mortality following hip fracture surgery in older adults: a single-center retrospective study in the context of Taiwan’s transition to an aged society |
| title_fullStr | Postoperative mortality following hip fracture surgery in older adults: a single-center retrospective study in the context of Taiwan’s transition to an aged society |
| title_full_unstemmed | Postoperative mortality following hip fracture surgery in older adults: a single-center retrospective study in the context of Taiwan’s transition to an aged society |
| title_short | Postoperative mortality following hip fracture surgery in older adults: a single-center retrospective study in the context of Taiwan’s transition to an aged society |
| title_sort | postoperative mortality following hip fracture surgery in older adults a single center retrospective study in the context of taiwan s transition to an aged society |
| topic | Geriatric hip fractures Postoperative mortality Aged society Health-care disparities Aspiration pneumonia Gastrointestinal hemorrhage |
| url | https://doi.org/10.1038/s41598-025-06181-9 |
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