Korean J Anesthesiol.  2013 Jun;64(6):505-510. 10.4097/kjae.2013.64.6.505.

Risk factors of morbidity and mortality following hip fracture surgery

• Kim SD
• Park SJ
• Lee DH
• Jee DL

• KMID: 1767433
• DOI: http://doi.org/10.4097/kjae.2013.64.6.505

Abstract

BACKGROUND
The preoperative coexisting chronic systemic illness, delay in surgery, gender, and age were considered as risk factors for the complications after hip fracture surgery. The wider range of surgical delay and immobility-related pulmonary morbidity may affect postoperative complications and mortality. This study examined the risk factors for morbidity and mortality following the hip fracture surgery.
METHODS
The patient data was collected retrospectively. The consecutive 506 patients with hip fracture surgery, aged 60 years or older, were included. The patients' age, gender, preexisting diseases, American Society of Anesthesiologists (ASA) classification, delay in surgical repair, duration of surgical procedure, and methods of anesthesia were noted. The thirty-day postoperative complications were reviewed, and cardiac complications, pulmonary complications, delirium, and death were recorded. The data was analyzed for postoperative complications and risk factors.
RESULTS
Atelectasis was associated with postoperative pulmonary complications. Male gender and age > or = 80 years were associated with an increased incidence of postoperative delirium. ASA classification 3 was associated with death. A delay in surgery was not associated with any complications. Preexisting diseases and methods of anesthesia did not affect mortality and postoperative complications.
CONCLUSIONS
The results suggest that a delay in surgery did not affect the postoperative complications and morbidity.

Keyword

Hip fractures; Morbidity; Mortality

MeSH Terms

Aged
Anesthesia
Delirium
Hip
Hip Fractures
Humans
Incidence
Male
Postoperative Complications
Pulmonary Atelectasis
Retrospective Studies
Risk Factors