Outcomes in nonagenarians after hemiarthroplasty for femoral neck fracture. A prospective matched cohort study

被引：14

作者：

Sanz-Reig, Javier ^{[1
]}

Lizaur-Utrilla, Alejandro ^{[1
]}

Serna-Berna, Ricardo ^{[1
]}

机构：

[1] Hosp Gen Elda, Dept Orthopaed Surg, Alicante 03600, Spain

来源：

HIP INTERNATIONAL | 2012年 / 22卷 / 01期

关键词：

Nonagenarians; Hip fracture; Hemiarthroplasty; HIP FRACTURE; SURGERY; MORTALITY; DELAY;

D O I：

10.5301/HIP.2012.9080

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A prospective cohort of 33 nonagenarians with hemiartroplasty for femoral neck fracture was matched with 33 patients aged between 70 and 89, using preoperative and postoperative data, and the following were studied; epidemiological data, physical dependence, and SF-12 and WOMAC questionnaires. The mortality rate at one year was 24.2%, influenced by the presence of 3 or more comorbidities, dementia, and previous dependence. The perioperative period was the most vulnerable time, and in some cases delaying surgery should be considered to stabilise the patient's medical condition in very elderly patients. Mortality and functional outcomes were worse than in younger patients, but the surgical complication rate was similar. Prognostic factors for a decline in quality of life were dementia and previous dependence.

引用

页码：113 / 118

页数：6

共 24 条

[1] Hip fractures in the elderly: Predictors of one year mortality
Aharonoff, GB
Koval, KJ
Skovron, ML
Zuckerman, JD
[J]. JOURNAL OF ORTHOPAEDIC TRAUMA, 1997, 11 (03) : 162 - 165
[2] Further experience of nonagenarians with hip fractures
Alarcón, T
González-Montalvo, JI
Bárcena, A
Saez, P
[J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2001, 32 (07): : 555 - 558
[3] American Society of Anesthesiologists, REL VAL GUID 2008
[4] Is the delay to surgery for isolated hip fracture predictive of outcome in efficient systems?
Bergeron, E
Lavoie, A
Moore, L
Bamvita, JM
Ratte, S
Gravel, C
Clas, D
[J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2006, 60 (04) : 753 - 757
[5] Hip fractures in nonagenarians: Perioperative mortality and survival
de Kerkhove, M. P. van
Antheunis, P. S.
Luitse, J. S. K.
Goslings, J. C.
[J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2008, 39 (02): : 244 - 248
[6] The effect of the timing of hip fracture surgery on the activity of daily living and mortality in elderly
Doruk, H
Mas, MR
Yildiz, C
Sonmez, A
Kyrdemir, V
[J]. ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2004, 39 (02) : 179 - 185
[7] Mortality following surgery for proximal femoral fractures in centenarians
Forster, MC
Calthorpe, D
[J]. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2000, 31 (07): : 537 - 539
[8] Hagino T, 2006, J Orthop Surg (Hong Kong), V14, P122
[9] HODKINSON H M, 1972, Age and Ageing, V1, P233, DOI 10.1093/ageing/1.4.233
[10] Early mortality after surgical fixation of hip fractures in the elderly - An analysis of data from the Scottish Hip Fracture Audit
Holt, G.
Smith, R.
Duncan, K.
Finlayson, D. F.
Gregori, A.
[J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (10): : 1357 - 1363

← 1 2 3 →