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. 2023 Aug 17;13(8):1271.
doi: 10.3390/jpm13081271.

The Rising Problem of Hip Fractures in Geriatric Patients-Analysis of Surgical Influences on the Outcome

Julian Krickl  1 , Till Ittermann  2 , Andreas Thannheimer  1 , Wolfgang Schmidt  1 , Maximilian Willauschus  3 , Johannes Ruether  3 , Kim Loose  3 , Markus Gesslein  3 , Michael Millrose  1   3
Affiliations

The Rising Problem of Hip Fractures in Geriatric Patients-Analysis of Surgical Influences on the Outcome

Julian Krickl et al. J Pers Med. .

Abstract

Background: Hip fractures in geriatric patients often have a poor outcome in terms of mortality, mobility as well as independence. Different surgical influence factors are known that improve the outcome.

Methods: In this observational cohort study, 281 patients of a geriatric trauma unit were analyzed prospectively. Demographic factors, as well as data regarding the trauma mechanism and perioperative treatment, were recorded. The nutritional status was also analyzed. The follow-up was set to 120 days.

Results: The key conclusion of this study is that a high ASA classification, the use of anticoagulatory medicine and malnutrition are significantly associated with higher mortality together with worse independence (p < 0.05). There is no significant difference in outcome concerning the time to surgery within the first 24 h.

Conclusions: Malnutrition seems to be an important risk factor for an adverse outcome of geriatric patients and therefore warrants a focus in multidisciplinary treatment. The risk factor ASA cannot be improved during the pre-surgery phase, but requires intensified care by a multidisciplinary team specialized in orthogeriatrics.

Keywords: frailty; geriatric trauma; hip fractures; malnutrition; orthogeriatrics.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Carpintero P., Caeiro J.R., Carpintero R., Morales A., Silva S., Mesa M. Complications of hip fractures: A review. World J. Orthop. 2014;5:402–411. doi: 10.5312/wjo.v5.i4.402. - DOI - PMC - PubMed
    1. Federal Health Monitoring System Diagnostic Data of the Hospitals by Place of Treatment for ICD S70-S79. 2021. [(accessed on 13 July 2023)]. Available online: https://www.gbe-bund.de/gbe/!pkg_olap_tables.prc_set_page?p_uid=gast&p_a....
    1. Federal Health Monitoring System Death Data for ICD S70-S79. 2020. [(accessed on 13 July 2023)]. Available online: https://www.gbe-bund.de/gbe/!pkg_olap_tables.prc_set_page?p_uid=gast&p_a....
    1. Haentjens P., Magaziner J., Colón-Emeric C.S., Vanderschueren D., Milisen K., Velkeniers B., Boonen S. Meta-analysis: Excess mortality after hip fracture among older women and men. Ann. Intern. Med. 2010;152:380–390. doi: 10.7326/0003-4819-152-6-201003160-00008. - DOI - PMC - PubMed
    1. Peeters C.M., Visser E., Van de Ree C.L., Gosens T., Den Oudsten B.L., De Vries J. Quality of life after hip fracture in the elderly: A systematic literature review. Injury. 2016;47:1369–1382. doi: 10.1016/j.injury.2016.04.018. - DOI - PubMed

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