Fifteen years change in acute management of hip fracture patients: One-year mortality calls for improvements
Injury Jan 24, 2021
Trevisan C, Gallinari G, Carbone A, et al. - The present study was performed to evaluate the changes in comorbidities in hip fractured patients over 15 years, the changes in mortality, and identify the predictive factors for mortality for identifying the patients at higher risk. Researchers retrospectively reviewed examined hip fractured patients admitted in a hospital in 2000-2001 (192 patients) and 2015-2016 (323 patients). They compared demographic, clinical, and management data from the two cohorts. The most significant predictors of mortality were distinguished by performing a multivariate logistic regression model. A significant improvement was observed in 30-days mortality in hip fractured patients despite their increase in comorbidities but this advantage was not found in 1-year mortality after 15 years. This implies the need to implement targeted and longer-term care support for males, older patients, and those with greater comorbidities that are at higher risk.
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