Outcome after Hip Fracture in Elderly Patients

Article Sidebar

PDF
Published: Apr 19, 2018
Keywords:
Hip fracture Morbidity and mortality Sisaket

Main Article Content

Ruangdech Pipatyaokul
Medical Physician, Professional Level, Department of Orthopaedics, Sisaket Hospital, Sisaket, Thailand

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/materia: 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, 31(2), 71–83. retrieved from https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/119290
Issue
Vol. 31 No. 2 (2016): May - August 2016
Section
Original Articles

References

1. Phupong V. Adolescecnt pregnancy. In : reproductive health in extreme ages: how to approach? Bankok : Royal Thai college of Obstetrician and Gynecologist 2005:180-96.

2. Ministry of Public Health Bureau of Health Promotion. Maternal and child health status of Thailand in 2002. Nonthaburi : Ministry of Public Health; 2003.

3. Ministry of Social Development and human security. สถานการณ์การตังครรภ์ในวัยรุ่นปี พ.ศ. 2553. [internet] 2554 [cited 2012 sep 9]. Available from: https://www.uthaithani.m-society.go.th/Downlonddoc- ument/teenage_pregnant%2053.doc

4. Isaranurug S, Tejawanichpong W. Sexual behaviour in middle and late childhood in Thailand-a documentation review from 1991-1999. Bangkok : Charoen-Deekanpim; 2001.

5. Watcharaseranee N, Pinchantra P, Piyaman S. The incidence and complications of teenage pregnancy at Chonburi hospital. J Med Assoc Thai 2006;89(Suppl):118-23.

6. Isaranurug S, Mo-suwan L, Choprapawon C. Differences in Socio-Economic status,- service utilization, and pregnancy out¬comes between teenage and adult mother. J Med Assoc Thai 2006;89:14551.

7. Suebnukarn K, Phupong V. Pregnancy outcomes in. J Med Assoc Thai 2005;88: 1758-62.

8. Santos GH, Martin Mda G, Sousa Mda S, Batalha sde J. Impact of maternal age on perinatal outcomes and mode of deliver. Rev Bras Ginecol Obstet 2009;31:326-34.

9. Martins Mda G, Santos GH, Sousa Mda S, Costa JE, Simoes Vm. Association of pregnancy in adolescencand prematurity. Rev Bras Ginecol Obstet 2011;33:354-60.

10. Smith GCS, Pell J. Teenage pregnancy and risk of adverse perinatal outcomes associated with first and second birth; population based retrospective cohort study. BMJ 2001;323:476-9.

11. Yadav S, Choudhary D, Narayan KC, Kumar RN. Adverse reproductive outcomes associated with teenage pregnancy. Mcgill J Med 2008;11:141-4.

12. Chen X, Wen S, Flemming N, Demissie K, Rhoads G, Walker M. Teenage pregnancy and adverse birth outcomes. Int J Epidemiol 2007;36:368-73.

13. Satin AJ, Leveno KJ, Sherman ML, Reedy NJ, LoweTW, Mcintire DD. Maternal youth and pregnancy outcomes:middle school versus high school age groups compared with women beyond the teen years.Am J Obstet Gynecol 1994;171:184-7.

14. Jolly MC, Serbire N, Harris J, Robinson S, Regan L. Obstetric risk of pregnancy in women less than 18 years old. Obstet Gynecol 2000;96;962-6.

15. Kovavisarach E, Chairaj ร, Tosang K, Asavapiriyanont S, Chotigeat บ. Outcomes of teenage pregnancy in Rajavithi hospital. J Med Assoc Thai 2010;93:1-7.

16. Suwannachat B, Ualalitchoowong P. Maternal age and pregnancy outcomes. Srinagarind Med J 20007;22:401-7.

17. Hugh M, Dierker L, Miluzzi C. Low birth weight, failure to thrive in pregnancy, and adverse pregnancy outcomes. Am J Obstet Gynecol 2003;1726-30.