Year: 2025
Type: article
Study design: Observational Study
Abstract: With an aging population, hip fractures in the elderly have become a growing concern. Oldest-old patients aged 80 years and above are particularly vulnerable to complications and in-hospital mortality. The objective of this study was to ascertain the prevalence of in-hospital mortality and pinpoint associated risk factors among Oldest-old patients presenting with hip fractures. Methods: This retrospective cohort study analyzed data from a hip fracture database at Maharat Nakhon Ratchasima Hospital from January 2020 to December 2021. Patients aged 80 years and above were included. Statistical analysis was performed to compare characteristics between patients who died and survived during hospitalization. Results: A total of 435 patients aged 80 years and above were included. The in-hospital mortality rate was 5.52%. Renal dysfunction was significantly associated with increased mortality. Deceased patients had significantly lower estimated glomerular filtration rates (GFR) compared to survivors (P = 0.021). Moreover, 25% of deceased patients had stage 4 or higher chronic kidney disease (CKD), significantly higher than 8.27% in survivors (P = 0.01). Postoperative pneumonia was another significant complication observed in the deceased group. Conclusion: Elderly hip fracture patients aged 80 years and above are at high risk of in-hospital mortality. Renal dysfunction (stage 4 or higher chronic kidney disease) and postoperative pneumonia were identified as significant risk factors. Proactive assessment and management of these risk factors may help reduce mortality in this vulnerable population.
Institution: Maharat Nakhon Ratchasima Hospital
Language: English
Topic: Hip and Femur Fractures
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7216631023