Hip Pelvis.  2013 Jun;25(2):127-134. 10.5371/hp.2013.25.2.127.

Analysis of the Risk Factors and Clinical Outcomes of Femoral Intertrochanteric Fractures in Patients over 65 Years Old

Affiliations
  • 1Department of Orthopedic Surgery, School of Medicine, Dong-A University, Busan, Korea. hyeonjun@dau.ac.kr

Abstract

PURPOSE
This study examined therelationship between the clinical outcome and risk factors of intertrochanteric femoral fractures in patients over 65 years old.
MATERIALS AND METHODS
From January 2000 to March 2012, three hundred and twenty one patients older than 65 years, who underwent surgeryfor intertrochanteric femoral fractures, were evaluated. The following parameters wereanalyzed: the patient risk factors, such as age, sex, smoking, drinking history, cardiovascular disease, cerebrovascular disease and delayed days to surgery; admission day of the week; anesthetic method; operation time by perioperative care related to clinical outcome including postoperative mortality; and complications.
RESULTS
An analysis of the risk factors revealedfemale patients to have a 13% higher mortality (P=0.043). Aduration of surgerylonger than 3 hours was associated with a 29.1% and 20.8% higher mortality and complication rate, respectively (P<0.001, P=0.027). Asurgical delay of four days or more after admission wasassociated with a 20.1% and 18.8% higher mortality risk and complication rate, respectively (P<0.001, P<0.001). Smoking, drinking history, underlying disease, anesthetic method, and operation time had no significant effect on the outcome.
CONCLUSION
In addition to recognizing the importance of patient-related risk factors, modifying the operative factors, such as reducing surgical delays and method of anesthesia, can reduce the mortality and postoperative complications of intertrochanteric femoral fractures.

Keyword

Intertrochanteric fracture; Mortality

MeSH Terms

Anesthesia
Cardiovascular Diseases
Drinking
Femoral Fractures
Hip Fractures
Humans
Perioperative Care
Postoperative Complications
Risk Factors
Smoke
Smoking
Smoke

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