Comparison of mortality rates and risk factors for mortality between proximal femoral nailing and bipolar hemiarthroplasty for hip fractures

Mustafa Altıntaş; Okan Ateş

Article Details

Comparison of mortality rates and risk factors for mortality between proximal femoral nailing and bipolar hemiarthroplasty for hip fractures

Authors:

Mustafa Altıntaş | Okan Ateş

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Ortopedi

Journal:

Journal of Health Sciences and Medicine Vol.7 Issue 3, pp.327-331

Document Type:

Article

Publication Date:

5/2024

Document Language:

English

Document ID (Org No.):

2001318142

pISSN:

2636-8579

Keywords:

Abstract:

 Aims: The study aimed to compare in-hospital and post-discharge mortality rates and identify risk factors for patients who underwent bipolar hemiarthroplasty BHA or proximal femoral nailing PFN for hip fractures. Methods: The files of 395 patients, consisting of 129 BHA and 266 PFN patients performed between January 2017 and October 2022, were analyzed retrospectively. The demographic characteristics of the patients, in-hospital and 1-year post-discharge mortality rates, and risk factors that may have affected these mortality rates were analyzed. Results: There was no significant difference between the two groups in terms of demographic characteristics, intensive care unit ICU stay, American Society of Anesthesiologists ASA score, time to surgery, and intubation p0.05. The length of hospital stay and blood transfusion rates were higher in the BHA group p0.05. There was no significant difference between the two groups regarding in-hospital and 1-year post-discharge mortality rates p0.05. The 1-year post-discharge mortality rates were higher for patients with a higher mean age, longer length of hospital stay, longer length of ICU stay, time to surgery 48 h, for patients who underwent intubation and blood transfusion, and for those with an ASA score of 4 p0.05. Chronic obstructive pulmonary disease COPD and congestive heart disease CHF were associated with higher in-hospital and 1-year post-discharge mortality, whereas dementia was only associated with higher 1-year post-discharge mortality p0.05. Conclusion: There was no significant difference between the in-hospital and 1-year post-discharge mortality rates of patients who underwent PFN and those who underwent BHA. Patients with longer time to surgery 48 h, longer length of hospital and ICU stay, patients with an ASA score of 4, and intubated patients had higher mortality rates. Comorbid CHF, COPD, and dementia increased the mortality rate in patients.

 Aims: The study aimed to compare in-hospital and post-discharge mortality rates and identify risk factors for patients who underwent bipolar hemiarthroplasty BHA or proximal femoral nailing PFN for hip fractures. Methods: The files of 395 patients, consisting of 129 BHA and 266 PFN patients performed between January 2017 and October 2022, were analyzed retrospectively. The demographic characteristics of the patients, in-hospital and 1-year post-discharge mortality rates, and risk factors that may have affected these mortality rates were analyzed. Results: There was no significant difference between the two groups in terms of demographic characteristics, intensive care unit ICU stay, American Society of Anesthesiologists ASA score, time to surgery, and intubation p0.05. The length of hospital stay and blood transfusion rates were higher in the BHA group p0.05. There was no significant difference between the two groups regarding in-hospital and 1-year post-discharge mortality rates p0.05. The 1-year post-discharge mortality rates were higher for patients with a higher mean age, longer length of hospital stay, longer length of ICU stay, time to surgery 48 h, for patients who underwent intubation and blood transfusion, and for those with an ASA score of 4 p0.05. Chronic obstructive pulmonary disease COPD and congestive heart disease CHF were associated with higher in-hospital and 1-year post-discharge mortality, whereas dementia was only associated with higher 1-year post-discharge mortality p0.05. Conclusion: There was no significant difference between the in-hospital and 1-year post-discharge mortality rates of patients who underwent PFN and those who underwent BHA. Patients with longer time to surgery 48 h, longer length of hospital and ICU stay, patients with an ASA score of 4, and intubated patients had higher mortality rates. Comorbid CHF, COPD, and dementia increased the mortality rate in patients.

 Aims: The study aimed to compare in-hospital and post-discharge mortality rates and identify risk factors for patients who underwent bipolar hemiarthroplasty BHA or proximal femoral nailing PFN for hip fractures. Methods: The files of 395 patients, consisting of 129 BHA and 266 PFN patients performed between January 2017 and October 2022, were analyzed retrospectively. The demographic characteristics of the patients, in-hospital and 1-year post-discharge mortality rates, and risk factors that may have affected these mortality rates were analyzed. Results: There was no significant difference between the two groups in terms of demographic characteristics, intensive care unit ICU stay, American Society of Anesthesiologists ASA score, time to surgery, and intubation p0.05. The length of hospital stay and blood transfusion rates were higher in the BHA group p0.05. There was no significant difference between the two groups regarding in-hospital and 1-year post-discharge mortality rates p0.05. The 1-year post-discharge mortality rates were higher for patients with a higher mean age, longer length of hospital stay, longer length of ICU stay, time to surgery 48 h, for patients who underwent intubation and blood transfusion, and for those with an ASA score of 4 p0.05. Chronic obstructive pulmonary disease COPD and congestive heart disease CHF were associated with higher in-hospital and 1-year post-discharge mortality, whereas dementia was only associated with higher 1-year post-discharge mortality p0.05. Conclusion: There was no significant difference between the in-hospital and 1-year post-discharge mortality rates of patients who underwent PFN and those who underwent BHA. Patients with longer time to surgery 48 h, longer length of hospital and ICU stay, patients with an ASA score of 4, and intubated patients had higher mortality rates. Comorbid CHF, COPD, and dementia increased the mortality rate in patients.

 Aims: The study aimed to compare in-hospital and post-discharge mortality rates and identify risk factors for patients who underwent bipolar hemiarthroplasty BHA or proximal femoral nailing PFN for hip fractures. Methods: The files of 395 patients, consisting of 129 BHA and 266 PFN patients performed between January 2017 and October 2022, were analyzed retrospectively. The demographic characteristics of the patients, in-hospital and 1-year post-discharge mortality rates, and risk factors that may have affected these mortality rates were analyzed. Results: There was no significant difference between the two groups in terms of demographic characteristics, intensive care unit ICU stay, American Society of Anesthesiologists ASA score, time to surgery, and intubation p0.05. The length of hospital stay and blood transfusion rates were higher in the BHA group p0.05. There was no significant difference between the two groups regarding in-hospital and 1-year post-discharge mortality rates p0.05. The 1-year post-discharge mortality rates were higher for patients with a higher mean age, longer length of hospital stay, longer length of ICU stay, time to surgery 48 h, for patients who underwent intubation and blood transfusion, and for those with an ASA score of 4 p0.05. Chronic obstructive pulmonary disease COPD and congestive heart disease CHF were associated with higher in-hospital and 1-year post-discharge mortality, whereas dementia was only associated with higher 1-year post-discharge mortality p0.05. Conclusion: There was no significant difference between the in-hospital and 1-year post-discharge mortality rates of patients who underwent PFN and those who underwent BHA. Patients with longer time to surgery 48 h, longer length of hospital and ICU stay, patients with an ASA score of 4, and intubated patients had higher mortality rates. Comorbid CHF, COPD, and dementia increased the mortality rate in patients.

Article Details

Comparison of mortality rates and risk factors for mortality between proximal femoral nailing and bipolar hemiarthroplasty for hip fractures

Authors:

Mustafa Altıntaş | Okan Ateş

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Ortopedi

Journal:

Journal of Health Sciences and Medicine Vol.7 Issue 3, pp.327-331

Document Type:

Article

Publication Date:

5/2024

Document Language:

English

Document ID (Org No.):

2001318142

pISSN:

2636-8579

Bipolar hemiarthroplasty

Hip fracture

proximal femoral nail

mortality

Issues

Article Details

Comparison of mortality rates and risk factors for mortality between proximal femoral nailing and bipolar hemiarthroplasty for hip fractures

Authors: Mustafa Altıntaş | Okan Ateş

Publisher: MediHealth Academy Yayıncılık

Main Topics: Ortopedi

Journal: Journal of Health Sciences and Medicine Vol.7 Issue 3, pp.327-331

Document Type: Article

Publication Date: 5/2024

Document Language: English

Document ID (Org No.): 2001318142

pISSN: 2636-8579

Bipolar hemiarthroplasty

Hip fracture

proximal femoral nail

mortality

Issues

Authors:

Mustafa Altıntaş | Okan Ateş

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Ortopedi

Journal:

Journal of Health Sciences and Medicine Vol.7 Issue 3, pp.327-331

Document Type:

Article

Publication Date:

5/2024

Document Language:

English

Document ID (Org No.):

2001318142

pISSN:

2636-8579