FACTORS AFFECTING COMPLICATION IN THE OLDER PATIENTS AFTER HIP SURGERY IN SINGBURI HOSPITAL

Authors

  • Pranee Meehanpong Singburi Hospital
  • Suneerat Boonsin Boromarajonani College of Nursing, Saraburi, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health
  • Sasitorn Roojanavech
  • Kannikar Chatdokmaiprai

Keywords:

complication, older patients, hip surgery

Abstract

          Objective: To describe factors associated with complication of fracture around the hip in the older patients after surgery in Singburi hospital.

Methods: Retrospective study was conducted in the older patient after hip surgery between October 2019 and September 2020.  Seventy-three medical records of were reviewed retrospectively. Content validity index (CVI) of data collection form developed by the researcher was .89. Data were analyzed by using descriptive statistics and Logistic Regression.

 Results: Older patients aged over 80 years were 13.72 times more risk of complication than those aged 60-69 years (OR = 13.72, 95% CI 2.31, 81.38). Who had over four comorbidities were 8.47 times more risk of complication than those lower four comorbidities (OR = 8.47, 95% CI 1.57, 45.60). A hemoglobin level of > 10% were 87% low risk of complication than those < 10%. BMI ≥ 30 kg/m2 were 40.46 times more risk of complication than those ≤ 24.9 (OR = 40.46, 95% CI 2.08, 784.39)

Conclusion: showed that factors affecting complication of fracture around the hip in the older patients after surgery were age, amount of comorbidity, body mass index (BMI), and hemoglobin. These factors could predict complication of fracture around the hip in the older patients after surgery at 54% with statistical significance (p< .05).

References

Cauley JA, Chalhoub D, Kassem AM, Fuleihan GE-H. Geographic and ethnic disparities in osteoporotic fractures. Nat Rev Endocrinol. 2014;10(6):338-51.

Marsh D, Akesson K, Beaton D, Bogoch E, Boonen S, Brandi M-L, et al. Coordinator-based systems for secondary prevention in fragility fracture patients. Osteoporos Int. 2011;22(7):2051-65.

Kanis J, Odén A, McCloskey E, Johansson H, Wahl D, Cooper C. IOF Working Group on epidemiology and quality of life. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 2012;23(9):2239-56.

Zagra L. Advances in hip arthroplasty surgery: what is justified? EFORT Open Rev. 2017;2(5):171-8.

ศิวลาภ สุขไพบูลย์วัฒน์. บทบาทของผู้สูงอายุต่อความเจริญเติบโตทางเศรษฐกิจในประเทศไทย.

วารสารศรีนคริทรวิโรฒวิจัยและพัฒนา. 2560; 9(17): 176-91.

จิตติมา บุญเกิด. การหกล้มในผู้สูงอายุการป้องกันและดูแลรักษาทางเวชศาสตร์ครอบครัว. กรุงเทพฯ: สหมิตรพัฒนาการพิมพ์ (1992) จำกัด; 2561

Sucharitpongpan W, Daraphongsataporn N, Saloa S, Philawuth N, Chonyuen P, Sriruanthong K, et al. Epidemiology of fragility hip fractures in Nan, Thailand. Osteoporos Sarcopenia. 2019;5(1):19-22.

Pradeep AR, KiranKumar A, Dheenadhayalan J, Rajasekaran S. Intraoperative lateral wall fractures during dynamic hip screw fixation for intertrochanteric fractures-Incidence, causative factors and clinical outcome. Injury. 2018 Feb 1;49(2):334-83.

Malik AT, Quatman CE, Phieffer LS, Ly TV, Khan SN. Incidence, risk factors and clinical impact of postoperative delirium following open reduction and internal fixation (ORIF) for hip fractures: an analysis of 7859 patients from the ACS-NSQIP hip fracture procedure targeted database. Eur J Orthop Surg Traumatol. 2019 Feb;29(2): 435-46.

Ziegler P, Schlemer D, Flesch I, Bahrs S, Stoeckle U, Werner S, Bahrs C. Quality of life and clinical-radiological long-term

results after implant-associated infections in patients with ankle fracture: a retrospective matched-pair study. J Orthop Surg

Res. 2017 Dec;12(1):1-7.

Brox WT, Roberts KC, Taksali S, Wright DG, Wixted JJ, Tubb CC, Patt JC, Templeton KJ, Dickman E, Adler RA, Macaulay WB. The American academy of orthopaedic surgeons evidence-based guideline on management of hip fractures in the elderly. J Bone Joint Surg Am. 2015 Jul 15;97(14):1196-99.

หอผู้ป่วยศัลยกรรมกระดูกชาย - หญิง. รายงานสถิติผู้ป่วยหอผู้ป่วยหอผู้ป่วยศัลยกรรมกระดูกชาย – หญิง. กลุ่มการพยาบาล โรงพยาบาลสิงห์บุรี. (เอกสารไม่ตีพิมพ์); 2564.

Mariconda M, Galasso O, Costa GG, Recano P, Cerbasi S. Quality of life and

functionality after total hip arthroplasty: a long-term follow-up study. BMC

Musculoskelet Disord. 2011 Dec;12(1):1-10.

Sydney W, Jo EB. Factors affecting post surgery hip fracture recovery. Journal of Orthopaedics, Trauma and Rehabilitation. 2014 Dec;18(2):54-8.

Cannata F, Laudisio A, Ambrosio L, Vadalà G, Russo F, Zampogna B, Napoli N, Papalia R. The Association of Body Mass Index with surgical time is mediated by comorbidity in patients undergoing total hip arthroplasty. Journal of Clinical Medicine. 2021 Jan;10(23):5600.

Correa-Valderrama A, Stangl-Herrera W, Echeverry-Vélez A, Cantor E, Ron-Translateur T, Palacio-Villegas JC. Relationship between body mass index and complications during the first 45 days after primary total hip and knee replacement: a single- center study from South America. Clin Orthop Surg. 2019 Jun 1;11(2):159-63.

Björkelund KB, Hommel A, Thorngren KG, Gustafson L, Larsson S, Lundberg D. Reducing delirium in elderly patients with hip fracture: a multi‐factorial intervention study. Acta Anaesthesiol Scand. 2010 Jul;54(6):678-88.

Sali E, Marmorat JL, Gaudot F, Nich C. Perioperative complications and causes of 30-and 90-day readmission after direct anterior

approach primary total hip arthroplasty. J Orthop. 2020 Jan;1;17:69-72.

Downloads

Published

2022-08-29

How to Cite

Meehanpong, P., Boonsin, S. ., Roojanavech, S. ., & Chatdokmaiprai, K. . (2022). FACTORS AFFECTING COMPLICATION IN THE OLDER PATIENTS AFTER HIP SURGERY IN SINGBURI HOSPITAL. Mahasarakham Hospital Journal, 19(2), 77–87. retrieved from https://he02.tci-thaijo.org/index.php/MKHJ/article/view/256947

Issue

Section

Articles