Yıl 2021, Cilt 5 , Sayı 1, Sayfalar 75 - 79 2021-01-01

Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients

Yüksel Uğur YARADILMIŞ [1] , Mustafa Caner OKKAOĞLU [2] , Ahmet ATEŞ [3] , Alparslan KILIÇ [4] , İsmail DEMİRKALE [5] , Murat ALTAY [6]


Background/Aim: Among all orthopedic injuries, hip fractures continue to have high morbidity and mortality. While the epidemiological features of proximal femoral fractures (PFF) have often been defined, there are studies which examine the relationship between the complications of the types of PFF and mortality. The aim of this study was to determine the frequency of PFF types and investigate the relationship between complications of subtypes and mortality. Methods: This study included 380 patients aged >40 years who underwent surgery for a PFF. The fractures were classified according to localization as intertrochanteric femur fracture (ITFF), femoral neck fracture (FNF) and subtrochanteric fracture (STF). Patient demographic data (age, gender, comorbidities) were recorded, and modified Charlson comorbidity scores were calculated. Major surgical complications (infection, dislocation, implant failure) were defined as those requiring additional surgery, and minor surgical complications (cellulitis, wound site problems, pressure sores, deep vein thrombosis) as those not requiring surgery. Mortality rates were examined at 1, 3 and 12 months postoperatively. The fracture subtypes were compared with respect to surgical complications (major and minor), non-surgical complications and mortality rates. Mortality risk factors were determined according to final mortality status. Results: The patients included 235 females and 136 males (F/M=2/1) with a mean age of 78.5 (12.1) years. Three hundred and thirty (86.5%) patients were aged >65 years and 50 (13.5%) were aged <65 years. The fractures were classified as 225 (60%) ITFF, 120 (32%) FNF, and 26 (7%) STF. Surgical complications and complications not related to surgery were seen in 35 (9.2%) and 25 (6%) patients, respectively. Mortality occurred within one month in 17 (4.6%) patients, in three months in 32 (8.6%) and within the first year in 97 (26%). No significant difference was found between fracture types with respect to mortality in 1, 3, and 12 months (P=0.51, P=0.641, P=0.2 respectively). The mortality rates of ITFF and FNF were highly similar (1, 3, 12-month mortality: P=0.943, P=0.939, P=0.946 respectively). In the comparison between the surviving and non-surviving groups, age, Charlson comorbidity index, prolonged stay in intensive care, and non-surgical complications were significantly increased in the non-surviving group (P<0.001, P<0.001, P=0.03, P=0.005 respectively). Conclusion: ITFF is common among PFF. While there was no relationship between fracture types in PFF, complication and mortality, a correlation was found between mortality and age, Charlson comorbidity score, prolonged stay in intensive care, and non-surgical complications.
Hip fracture, proximal femur fracture, epidemiology, mortality, complication
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Birincil Dil en
Konular Ortopedi
Bölüm Araştırma makalesi
Yazarlar

Orcid: 0000-0002-7606-5690
Yazar: Yüksel Uğur YARADILMIŞ (Sorumlu Yazar)
Kurum: ANKARA KEÇİÖREN EĞİTİM VE ARAŞTIRMA HASTANESİ
Ülke: Turkey


Orcid: 0000-0002-9149-1858
Yazar: Mustafa Caner OKKAOĞLU
Kurum: ANKARA KEÇİÖREN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Orcid: 0000-0002-7576-0026
Yazar: Ahmet ATEŞ
Kurum: ANKARA KEÇİÖREN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Orcid: 0000-0002-3721-7006
Yazar: Alparslan KILIÇ
Kurum: ANKARA KEÇİÖREN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Orcid: 0000-0001-7230-1599
Yazar: İsmail DEMİRKALE
Kurum: ANKARA KEÇİÖREN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Orcid: 0000-0002-1898-3733
Yazar: Murat ALTAY
Kurum: ANKARA KEÇİÖREN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Ocak 2021

Bibtex @araştırma makalesi { josam787253, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2021}, volume = {5}, pages = {75 - 79}, doi = {10.28982/josam.787253}, title = {Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients}, key = {cite}, author = {Yaradılmış, Yüksel Uğur and Okkaoğlu, Mustafa Caner and Ateş, Ahmet and Kılıç, Alparslan and Demirkale, İsmail and Altay, Murat} }
APA Yaradılmış, Y , Okkaoğlu, M , Ateş, A , Kılıç, A , Demirkale, İ , Altay, M . (2021). Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients . Journal of Surgery and Medicine , 5 (1) , 75-79 . DOI: 10.28982/josam.787253
MLA Yaradılmış, Y , Okkaoğlu, M , Ateş, A , Kılıç, A , Demirkale, İ , Altay, M . "Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients" . Journal of Surgery and Medicine 5 (2021 ): 75-79 <http://jsurgmed.com/tr/pub/issue/59430/787253>
Chicago Yaradılmış, Y , Okkaoğlu, M , Ateş, A , Kılıç, A , Demirkale, İ , Altay, M . "Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients". Journal of Surgery and Medicine 5 (2021 ): 75-79
RIS TY - JOUR T1 - Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients AU - Yüksel Uğur Yaradılmış , Mustafa Caner Okkaoğlu , Ahmet Ateş , Alparslan Kılıç , İsmail Demirkale , Murat Altay Y1 - 2021 PY - 2021 N1 - doi: 10.28982/josam.787253 DO - 10.28982/josam.787253 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 75 EP - 79 VL - 5 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.787253 UR - https://doi.org/10.28982/josam.787253 Y2 - 2021 ER -
EndNote %0 Journal of Surgery and Medicine Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients %A Yüksel Uğur Yaradılmış , Mustafa Caner Okkaoğlu , Ahmet Ateş , Alparslan Kılıç , İsmail Demirkale , Murat Altay %T Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients %D 2021 %J Journal of Surgery and Medicine %P -2602-2079 %V 5 %N 1 %R doi: 10.28982/josam.787253 %U 10.28982/josam.787253
ISNAD Yaradılmış, Yüksel Uğur , Okkaoğlu, Mustafa Caner , Ateş, Ahmet , Kılıç, Alparslan , Demirkale, İsmail , Altay, Murat . "Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients". Journal of Surgery and Medicine 5 / 1 (Ocak 2021): 75-79 . https://doi.org/10.28982/josam.787253
AMA Yaradılmış Y , Okkaoğlu M , Ateş A , Kılıç A , Demirkale İ , Altay M . Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients. J Surg Med. 2021; 5(1): 75-79.
Vancouver Yaradılmış Y , Okkaoğlu M , Ateş A , Kılıç A , Demirkale İ , Altay M . Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients. Journal of Surgery and Medicine. 2021; 5(1): 75-79.
IEEE Y. Yaradılmış , M. Okkaoğlu , A. Ateş , A. Kılıç , İ. Demirkale ve M. Altay , "Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients", Journal of Surgery and Medicine, c. 5, sayı. 1, ss. 75-79, Oca. 2021, doi:10.28982/josam.787253