Dane Bolton1, Chelsea Bush2, Matthew T Wallace3. 1. Orthopaedic Resident, Wellspan Orthopaedics, 25 Monument Rd., Suite 290, York, PA, 17403, USA. 2. Wellspan Orthopaedics, 25 Monument Rd., Suite 290, York, PA, 17403, USA. 3. Orthopaedic Oncologist, MedStar Georgetown Cancer Insitute, MedStar Franklin Square Medical Center, 9103 Franklin Square Drive, Suite 2300 Baltimore, MD, 21237, USA.
Abstract
OBJECTIVES: The incidence of hip fractures continues to rise dramatically, but few studies have examined these injuries in the population of individuals over 90 years of age, which is one of the fastest growing populations. We present the largest such study specifically examining hip fractures in the super-elderly. METHODS: A review of 216 hip fracture patients over 90 years of age were examined for immediate postoperative complications and in-house, 30-day, and 1-year mortality. RESULTS: Overall 1-year mortality was 38.1%. Statistically-significant risk factors for 1-year mortality included oncologic fracture, dementia, and CHF. Fracture classification and hospital length of stay were associated with perioperative complications including anemia and pneumonia. CONCLUSION: The nonagenarian hip fracture is associated with a higher 1-year mortality than prior reported rates of mortality for elderly hip fractures. Factors previously reported to influence the risk of 1-year mortality in hip fractures are not observed in the super-elderly.
OBJECTIVES: The incidence of hip fractures continues to rise dramatically, but few studies have examined these injuries in the population of individuals over 90 years of age, which is one of the fastest growing populations. We present the largest such study specifically examining hip fractures in the super-elderly. METHODS: A review of 216 hip fracture patients over 90 years of age were examined for immediate postoperative complications and in-house, 30-day, and 1-year mortality. RESULTS: Overall 1-year mortality was 38.1%. Statistically-significant risk factors for 1-year mortality included oncologic fracture, dementia, and CHF. Fracture classification and hospital length of stay were associated with perioperative complications including anemia and pneumonia. CONCLUSION: The nonagenarian hip fracture is associated with a higher 1-year mortality than prior reported rates of mortality for elderly hip fractures. Factors previously reported to influence the risk of 1-year mortality in hip fractures are not observed in the super-elderly.
Authors: Hong X Jiang; Sumit R Majumdar; Donald A Dick; Marc Moreau; James Raso; David D Otto; D William C Johnston Journal: J Bone Miner Res Date: 2004-11-29 Impact factor: 6.741