Morbidity and Mortality following Surgery for Hip Fractures in Elderly Patients
Aim. To determine morbidity and mortality in elderly patients following hip fracture surgery in Egypt and its correlates and to determine the utility of the POSSUM scale to predict morbidity and mortality among our population. Methodology. We assessed postoperative morbidity and mortality following...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Journal of Aging Research |
| Online Access: | http://dx.doi.org/10.1155/2019/7084657 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832553552893968384 |
|---|---|
| author | Hebattu-allah E. Zaki Shereen M. Mousa Salma M. S. El Said Ahmed K. Mortagy |
| author_facet | Hebattu-allah E. Zaki Shereen M. Mousa Salma M. S. El Said Ahmed K. Mortagy |
| author_sort | Hebattu-allah E. Zaki |
| collection | DOAJ |
| description | Aim. To determine morbidity and mortality in elderly patients following hip fracture surgery in Egypt and its correlates and to determine the utility of the POSSUM scale to predict morbidity and mortality among our population. Methodology. We assessed postoperative morbidity and mortality following hip fracture surgery in a 6-month prospective observational study of 100 elderly patients who were undergoing surgical repair at the beginning of the study. The exclusion criteria included surgically unfit patients and patients refusing to participate in the study. The study was conducted in Ain Shams University Hospital, Ain Shams Specialized Hospital, and El-helal Hospital. Results. The subjects were categorized as survivors and nonsurvivors according to the 6-month mortality, and the groups were compared statistically according to this classification. The observed 6-month mortality was 19.56%. POSSUM had high specificity for predicting 6-month survival (97.3%). A multivariate regression analysis revealed that postoperative admission to the intensive care unit and lack of ambulation were major risk factors associated with the 6-month mortality. Conclusions. The POSSUM system had high specificity for predicting survivors (97.3%) but failed to predict mortality (sensitivity = 5.6%). The major risks for 6-month mortality are intensive care unit admission and lack of ambulation. |
| format | Article |
| id | doaj-art-72ec1feddb2740ae8cbf6e6999e33b73 |
| institution | Kabale University |
| issn | 2090-2204 2090-2212 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Aging Research |
| spelling | doaj-art-72ec1feddb2740ae8cbf6e6999e33b732025-02-03T05:53:43ZengWileyJournal of Aging Research2090-22042090-22122019-01-01201910.1155/2019/70846577084657Morbidity and Mortality following Surgery for Hip Fractures in Elderly PatientsHebattu-allah E. Zaki0Shereen M. Mousa1Salma M. S. El Said2Ahmed K. Mortagy3Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, EgyptDepartment of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, EgyptDepartment of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, EgyptDepartment of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, EgyptAim. To determine morbidity and mortality in elderly patients following hip fracture surgery in Egypt and its correlates and to determine the utility of the POSSUM scale to predict morbidity and mortality among our population. Methodology. We assessed postoperative morbidity and mortality following hip fracture surgery in a 6-month prospective observational study of 100 elderly patients who were undergoing surgical repair at the beginning of the study. The exclusion criteria included surgically unfit patients and patients refusing to participate in the study. The study was conducted in Ain Shams University Hospital, Ain Shams Specialized Hospital, and El-helal Hospital. Results. The subjects were categorized as survivors and nonsurvivors according to the 6-month mortality, and the groups were compared statistically according to this classification. The observed 6-month mortality was 19.56%. POSSUM had high specificity for predicting 6-month survival (97.3%). A multivariate regression analysis revealed that postoperative admission to the intensive care unit and lack of ambulation were major risk factors associated with the 6-month mortality. Conclusions. The POSSUM system had high specificity for predicting survivors (97.3%) but failed to predict mortality (sensitivity = 5.6%). The major risks for 6-month mortality are intensive care unit admission and lack of ambulation.http://dx.doi.org/10.1155/2019/7084657 |
| spellingShingle | Hebattu-allah E. Zaki Shereen M. Mousa Salma M. S. El Said Ahmed K. Mortagy Morbidity and Mortality following Surgery for Hip Fractures in Elderly Patients Journal of Aging Research |
| title | Morbidity and Mortality following Surgery for Hip Fractures in Elderly Patients |
| title_full | Morbidity and Mortality following Surgery for Hip Fractures in Elderly Patients |
| title_fullStr | Morbidity and Mortality following Surgery for Hip Fractures in Elderly Patients |
| title_full_unstemmed | Morbidity and Mortality following Surgery for Hip Fractures in Elderly Patients |
| title_short | Morbidity and Mortality following Surgery for Hip Fractures in Elderly Patients |
| title_sort | morbidity and mortality following surgery for hip fractures in elderly patients |
| url | http://dx.doi.org/10.1155/2019/7084657 |
| work_keys_str_mv | AT hebattuallahezaki morbidityandmortalityfollowingsurgeryforhipfracturesinelderlypatients AT shereenmmousa morbidityandmortalityfollowingsurgeryforhipfracturesinelderlypatients AT salmamselsaid morbidityandmortalityfollowingsurgeryforhipfracturesinelderlypatients AT ahmedkmortagy morbidityandmortalityfollowingsurgeryforhipfracturesinelderlypatients |