Background: The aim was to analyse the value of mortality, as well as factors affecting the survival of the patients aged ≧50 years within 2 years after the trauma.
Methods: A prospective study includes all the inhabitants of the city of Yaroslavl 50 years of age and older who had low-energy hip fractures from 01.09.2010 to 31.08.2011.
Results: The study included 446 patients: 334 (74.88%) women and 112 (25.12%) men (average age was 76,83±10,32 yrs). The overall mortality rate during within 2 years it was 43.9%. In 24 months after hip fracture the died patients were significantly older than the survivors (78,71±9,17 yrs vs 73,41±10,39 yrs, p=0.02). The factors which significantly affected mortality rates (p<0,05) were: a history of coronary heart disease, psychosis during hospitalisation, the index over the 3rd degree on the scale of anesthetic risk (ASA); cognitive impairment (MMSE scale corresponding as dementia or encephalopathy of II-III degree), the level of physical activity on a scale of Katz Activity of Daily Living ≤F, walking <30 minutes a day after the injury, value of creatinine >100 mmol/l at admission. Significant differences between men and women were not received either. The influence of age proved to be true in groups aged ≧60 and ≧80 and older. Among operated patients mortality was significantly less (27.59%) than among patients who were treated conservatively (53,54%).
Conclusions: The mortality among patients with hip fracture within 2 years was 43.9%. Higher rates of mortality were significantly associated with older age, presence of coronary heart disease, anaemia, azotemia, cognitive impairment, low level of physical activity after the fracture, and absence of surgical treatment.
Disclosure: The authors declared no competing interests.