Incidence and Factors Associated with 1-Year Mortality in Elderly Hip Fracture Patients Underwent Hip Surgery at Chaophrayayommarat Hospital
Keywords:
fragility hip fracture, one-year mortalityAbstract
Objective: The purpose was to study one-year mortality, incidence, and associated factors on patients with fragility hip fracture whounderwent surgeryatChaoprayayomarat Hospital.
Method:In this retrospective cohort analysis patients over 60 years old who sustained fragility hip fracture and underwent surgery in Choaprayayommarat Hospital were studied between October 2018 and February 2020. Data were collected from medical records from admission to one year after discharge from the hospital. The death status was confirmed from medical records or Thai Civil Registering system. Data were analyzed by using frequency, percentage, mean, standard deviation, Chi-square test, independent t-test, univariate and multivariate logistic regression.
Result: A total of 293 patients were collected, female 81.6% and male 18.4%.The mean age was 76.9 years. One-year mortality rate was 5.1%.The factors associated with one-year mortality were male, post-operative complications more than 1 condition, pressure sores,inability to walk before discharge, length of stay more than 7 days.
Conclusion: Factors those increase the risk of 1-year mortality are male, post-operative pressure ulcers and other complications, stay in hospital more than 1 week, inability to walk before discharge from hospital. Most of them are controllable and editable factors.
References
2. Wongtriratanachai P, Luevitoonvechkij S, Songpatanasilp T, et al. Increasing incidence of hip fracture in Chiang Mai, Thailand. J Clin Denitom. 2013; 16(3):347-52. doi: 10.1016/j.jocd.2012.07.002.
3. Phadunkiat S, Chariyalersak S, RaJatanavin R, et al. Incidence of hip fracture in Chiangmai. J Med Assoc Thai. 2002; 85(5):567-71.
4. สถาบันวิจัยระบบสาธารณสุข.การดูแลคุณภาพชีวิตผู้สูงอายุที่กระดูกข้อสะโพกหัก.การประชุมชี้แจงแนวปฏิบัติการดูแลผู้สูงอายุที่กระดูกข้อสะโพกหักแก่โรงพยาบาลนำร่อง;6 สิงหาคม 2563;ห้องประชุมจูปิเตอร์ 8-10 อิมแพ็ก เมืองทองธานี. นนทบุรี. 2563.
5. International Osteoporosis Foundation. Facts and Statistics [internet]. 2019 [cited2020 Aug 20]; Available from: https://www.iofbonehealth.org/facts-statistics
6. Kingkaew P, Maleewong U, Ngarmukos C, et al. Evidence to inform decision markers in Thailand: a cost-effective analysis of screening and treatment strategies for postmenopausal osteoporosis. Value Health. 2012;15(1 Suppl): s20-8. doi: 10.1016/j.jval.2011.11.015.
7. Chariyalertsak S, Suriyawongpisal P, Thakkinstain A. Mortality after hip fractures in Thailand. Int J Orthop. 2001;25(5):294-7. doi: 10.1007/s002640100270.
8. Vaseenon T, Luevitoonvechkij S, Wongtriratanachai P, et al. Long-term Mortality after osteoporotic hip fracture in Chiang Mai, Thailand. J clin Densitom. 2010;13(1): 63-7. doi: 10.1016/j.jocd.2009.10.003.
9. Amphansap T, Nitiwarangkul L. One-year mortality rate after osteoporotic hip fractures and associated risk factors in Police General Hospital. Osteoporos Sarcopenia. 2015;1(1):75-9. Doi: 10.1016/j.afos.2015.07.006
10. Choovongkomol K, Lewsirirat S, Piyapromdee U. Mortality and prognosis factors of elderly patients with pertrochanteric fracture: Re-evaluation in Maharat Nakhon Ratchasima hospital. JRCOST. 2015;3-4:3-9.
11. เกียรติยศ จิตทรงบุญ.ปัจจัยที่มีความสัมพันธ์กับอัตราตายในช่วง1ปีของผู้ป่วยกระดูกสะโพกหักจากโรคกระดูกพรุน โรงพยาบาลเพชรบูรณ์.วารสารโรงพยาบาลมหาสารคาม.2561;15(2):13-22.
12. Chaysri R,Leerapun T,Klunklin K,et al. Factors related to mortality after osteoporotic hip fracture treatment at Chiang Mai university hospital,Thailand,during 2006 and 2007.J Med Assoc Thai. 2015;98(1):59-64.
13. Downey C, Kelly M, Quinlan FJ. Changing trends in the mortality rate at 1-year post hip fracture – a systematic review.World J Orthop. 2019;10(3): 166-75.
14. Guzon-illescas O, Fernandez EP, Villarias NC, et al. Mortality after osteoporotic hip fracture: incidence, trend, and associated factors.J Orthop Surg Res. 2019;14: 203. Doi:10.1186/s13018-1226-6.
15. Heantjens P, Magaziner J, Colon-Emeric CS, et al. Meta-anlysis: Excess mortality after hip fracture among older women and men. Ann Intern Med. 2010;152(2): 380-90. doi: 10.1059/0003-4819-152-6-201003160-00008
16. Morri M, Ambrosi E, Chiari P, et al. One-year mortality after fracture surgery and prognostic factors: a prospective cohort study. Scientific reports. 2019;9: 18718. Doi:10.1038/s41598-019-55196-6.
17. Klestil T, Roder C, Stotter C, et al. Impact of timing of surgery in elderly hip fracture patients: a systematic review and meta-analysis. Scientific reports. 2018; 8: 13933. Doi:10.1038/s41598-018-32098-7.
18. American Academy of orthopedic Surgeons. Management of Hip Fractures in the Elderly:
Evidence-Based Clinical Practice Guideline [internet]. 2014 [cited 2020 Aug 20]; Available from: https://aaos.org/globalassets/quality-and-practice-resources/hip-fractures-in-the-elderly/management_of_hip_fractures_in_the_elderly-7-24-19.pdf
19. Roche JJ W, Wenn R T, Sahota O, Moran C G. Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study. BMJ. 2005; 331(7529): 1374. doi: 10.1136/bmj.38643.663843.55.
Downloads
Published
How to Cite
Issue
Section
License
ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
