Outcome After Hip fracture in elderly patients

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Published: Apr 5, 2018
Keywords:
Hip fracture Morbidity and mortality Sisaket

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Ruangdech Pipatyaokul
Department of Orthopaedics, Sisaket Hospital, Sisaket, Thailand, 32000

Abstract

Background: Hip fracture have been considered to be major problem for public health, which affected quality of life, increase morbidity and mortality.
Objective: To study the prevalence of hip fracture, demographic data, types of treatment, one-year mortality rate and ability to ambulation, and followed up patients for 5 years.
Research design: Retrospective descriptive study.
Patients/material: Elderly patients with hip fractures from low energy trauma admitted to Sisaket hospital from October 2005-September 2010.
Methods: Data were collected from inpatient and outpatient medical record and civil registration from Sisaket municipality. The data was analyzed by using descriptive statistics include frequency, percentage, and average.
Results: Seven hundred and twenty eight hip fractures admitted from October 2005 to September 2010 were 203 male and 525 female. Incidence was 10.4 per 100,000 persons. Average age was 69.8 years. Three hundred and seventy one patients were treated with surgery, and 357 patients with non-surgery. Overall one-year mortality rate was 31.3 %. Higher mortality rate was found in patients treated without surgery in first year after treatment especially in patients with co-morbid disease (Chronic renal failure, Cardiovascular disease, COPD, Anemia, Dementia). Ability to walk independently or with walking aid 1 year after treatment in patients treated without surgery was 37.6% and patients treat­ed with surgery was 72.0%.
Conclusion: Hip fracture in elderly patient increase morbidity and mortality, decrease functional independence and quality of life.

Article Details

How to Cite
Pipatyaokul, R. (2018). Outcome After Hip fracture in elderly patients. MEDICAL JOURNAL OF SISAKET SURIN BURIRAM HOSPITALS, 32(1), 21–32. retrieved from https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/118130
Issue
Vol. 32 No. 1 (2017): January - April 2017
Section
Original Articles

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