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Observational Study
. 2017 Oct;41(10):1995-2000.
doi: 10.1007/s00264-017-3591-2. Epub 2017 Aug 9.

The impact of pre-existing conditions on functional outcome and mortality in geriatric hip fracture patients

Christopher Bliemel  1 , Benjamin Buecking  2 , Ludwig Oberkircher  2 , Matthias Knobe  3 , Steffen Ruchholtz  2 , Daphne Eschbach  2
Affiliations
Observational Study

The impact of pre-existing conditions on functional outcome and mortality in geriatric hip fracture patients

Christopher Bliemel et al. Int Orthop. 2017 Oct.

Abstract

Purpose: Due to pre-existing illnesses, elderly hip fracture patients represent a vulnerable patient population. The present study was conducted to investigate the effects of various pre-existing conditions on the outcomes of hip fracture patients.

Methods: A total of 402 surgically treated geriatric hip fracture patients were included in this prospective, single-centre study. Upon admission, patient age, gender and fracture type were documented, among other information. Patients were divided into six groups according to their pre-existing illness (neurological, cardiovascular, respiratory, gastrointestinal, renal or musculoskeletal). Outcomes in all six patient groups were measured using the following outcome parameters: length of hospital stay, mobility, functional results and mortality rate at discharge and at the one-year follow-up examination.

Results: Reduced values for the pre-fracture Barthel index (BI) were detected in patients with neurological (p < 0.001) and kidney-related diseases (p = 0.001). Neurological and kidney-related diseases were associated with reduced values on the BI (p < 0.001; p = 0.002) and Tinetti test (TT) (p < 0.001; p = 0.004) as well as an increased mortality rate (p < 0.001; p < 0.001) at the one-year follow-up. In addition, patients with respiratory (p = 0.004) and gastrointestinal disorders (p = 0.007) had an increased mortality rate in the medium term.

Conclusions: Pre-existing conditions are common among geriatric hip fracture patients. Pre-existing neurological and kidney-related diseases had the highest impact on functional outcomes and mortality rates at the end of acute care and in the medium term. In contrast to pre-existing cardiovascular disease, pre-existing neurological, kidney, respiratory and gastrointestinal disorders were also found to be associated with increased mortality rates in the medium term.

Keywords: Complication; Geriatric fracture; Hip fracture; Outcome; Pre-existing condition.

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References

    1. BMJ Open. 2014 Dec 30;4(12 ):e005663 - PubMed
    1. Orthop Traumatol Surg Res. 2017 Feb;103(1):9-13 - PubMed
    1. Injury. 2013 Dec;44(12):1919-25 - PubMed
    1. Age Ageing. 2017 Jun 1;:1-5 - PubMed
    1. Bone. 1996 Jan;18(1 Suppl):57S-63S - PubMed

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