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Factors affecting postoperative mortality of patients with displaced femoral neck fracture
- Source :
- Injury. 37(8)
- Publication Year :
- 2005
-
Abstract
- Displaced femoral neck fractures are known to be associated with high rates of mortality. The purpose of the present study is to investigate pre- and postoperative factors which influence this mortality in a series of 1186 consecutive Danish patients presenting to one hospital's orthopaedic department with Garden type 3-4 fractures. Subsequent mortality data was obtained from the state population register (224 were still alive). The stepwise Cox proportional hazards model was used for multivariate analysis in order to obtain the predictors of postoperative mortality. The median survival of male subjects fell from 5.2 years in an age-matched control population to 1.6 years in the patients. In women survival time fell from 6.6 to 2.8 years. Almost all excess mortality occurred during the first 3 months following hemiarthroplasty. In order of significance, key factors negatively influencing mortality at 3 months were: cardiac complications, dementia, male sex, age, waiting time before operation, stroke and dislocation of the prosthesis and perioperative fracture. Of these, waiting time for surgery and dislocation of the prosthesis could be modified. A number of other studies have confirmed the importance of optimising these factors.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Arthroplasty, Replacement, Hip
Denmark
Poison control
Femoral Neck Fractures
Sex Factors
Risk Factors
medicine
Humans
Survival rate
General Environmental Science
Femoral neck
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Proportional hazards model
Perioperative
Length of Stay
Arthroplasty
Surgery
Survival Rate
medicine.anatomical_structure
Treatment Outcome
Orthopedic surgery
General Earth and Planetary Sciences
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 00201383
- Volume :
- 37
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Injury
- Accession number :
- edsair.doi.dedup.....08f090e90792f35fe65994f6e5e3ca19