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Higher mortality rate found after hip fracture in older men
Turkish researchers found that patients older than 80 years had the highest risk for mortality 1 year after hip fracture surgery, while female gender was more influential overall regarding survival, according to this study.
“Older men had the highest risk of mortality within the first year,” the researchers stated in the abstract. “Osteosynthesis has a lower mortality than does arthroplasty for hip fracture and thus should be preferred if either treatment is possible.”
Fracture type was not associated with mortality, but patients with ASA ratings of class 3 or 4 were had a higher risk of early mortality, according to the abstract. Surgical timing or anesthesia type did not affect mortality, but hemiarthroplasty carried a higher risk of mortality compared to osteosynthesis.
The 578 patients in the study were a mean of 79 years old and examined at a mean of 17 months follow-up. Researchers examined mortality within 1 year of surgery, after 1 year and survivorship at last follow-up, according to the abstract.