Factors associated on one-year mortality rate after Osteoporotic Hip Fracture patients at Phetchabun hospital
Abstract
Method: This study was a case-control design. The purposive were 476 patients hip fracture diagnosis who enrolled at Phetchabun hospital during October 2013 – September 2016. Research tool was record form that constructed by researcher. Data were collected from medical records and vital status from Thai Registering system, Registration Office, Department of Provincial Administration, Ministry of Interior. Data were analyzed by frequency, percentage, mean, standard deviation, Chi-square test, bivariate analysis and multivariate analysis by multiple logistic regression. Statistical significant was at p-value <0.05.
Results: Patients were female more than male, that were 77.5% and 22.5% respectively. The mean age was 77.1 years. One-year mortality rate was 26.7%. The factors associated with increase one-year mortality rate were age over 84 years (ORadj=1.78, 95%CI=1.03-3.10, p=0.041), co-morbidity from cirrhosis (ORadj=19.54, 95% CI= 2.03-188.21, p=0.010), complication with pneumonia (ORadj=11.07, 95% CI=3.62-33.86, p<0.001) and pressure sore (ORadj=4.16, 95%CI=1.31-13.24, p=0.016). However, significant associated factors that reduced one-year mortality rate including operative treatment was 70% (ORadj=0.30, 95%CI= 0.17-0.51, p<0.001) and calcium supplement treatment that was 41% (ORadj=0.59, 95%CI=0.35-0.98, p=0.042).
Conclusion: Hip fractures patients with older age and co-morbidity with cirrhosis are high risk to die within one year. Importantly, fast track operative treatment, calcium supplements and also prevention of pneumonia and pressure ulcers complications can be decrease one-year mortality rate in osteoporotic hip fracture patients.
Keywords : Hip fracture patients , Osteoporosis.
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