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Research Letter| Volume 22, ISSUE 12, P2602-2603, December 2021

Age, Prognostic Nutritional Index, and Charlson Comorbidity Index Were Independent Risk Factors for Postoperative Long-Term Mortality in Chinese Geriatric Patients Who Sustain Hip Fracture

Published:August 27, 2021DOI:https://doi.org/10.1016/j.jamda.2021.08.001
      Hip fracture is one of the most common injuries encountered in orthopedics.
      • Bhandari M.
      • Swiontkowski M.
      Management of acute hip fracture.
      Because of the high morbidity and mortality, hip fracture has considerable health and economic consequences for patients and families, and a burden to health care systems worldwide.
      • Bhandari M.
      • Swiontkowski M.
      Management of acute hip fracture.
      Previous studies have reported that the mortality in hip fracture patients in the subsequent year is between 20% and 30% and, moreover, that the risk for death can last up to 5 years, thus making it a public health concern.
      • Mizrahi E.H.
      • Arad M.
      • Fleissig Y.
      • Adunsky A.
      Gender differences in functional outcome of elderly hip fracture patients.
      However, with advances in surgical techniques and developments in the management of comorbidities and complications, patients are living longer.
      • Chen P.
      • Hung W.W.
      Geriatric orthopedic co-management of older adults with hip fracture: An emerging standard.
      In recent years, some studies have identified many factors significantly affecting long-term mortality in this population, including comorbidities and hypoalbuminemia.
      • von Friesendorff M.
      • McGuigan F.E.
      • Wizert A.
      • et al.
      Hip fracture, mortality risk, and cause of death over two decades.
      Furthermore, studies from Western countries have reported 1- and 5-year mortality of 7% and 24% in these patients.
      • Lüthje P.
      • Helkamaa T.
      • Kaukonen J.P.
      • et al.
      A long-term follow-up of 221 hip fracture patients in southeastern Finland: Analysis of survival and prior or subsequent fractures.
      However, nearly no studies have addressed the impact of risk factors on long-term mortality in geriatric Chinese patients who sustained hip fracture. Accordingly, the aim of this study was to explore the postoperative long-term mortality and risk factors affecting long-term mortality in geriatric patients who sustained hip fracture in China.
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      References

        • Bhandari M.
        • Swiontkowski M.
        Management of acute hip fracture.
        N Engl J Med. 2017; 377: 2053-2062
        • Mizrahi E.H.
        • Arad M.
        • Fleissig Y.
        • Adunsky A.
        Gender differences in functional outcome of elderly hip fracture patients.
        Geriatr Gerontol Int. 2014; 14: 845-850
        • Chen P.
        • Hung W.W.
        Geriatric orthopedic co-management of older adults with hip fracture: An emerging standard.
        Ann Transl Med. 2015; 3: 224
        • von Friesendorff M.
        • McGuigan F.E.
        • Wizert A.
        • et al.
        Hip fracture, mortality risk, and cause of death over two decades.
        Osteoporos Int. 2016; 27: 2945-2953
        • Lüthje P.
        • Helkamaa T.
        • Kaukonen J.P.
        • et al.
        A long-term follow-up of 221 hip fracture patients in southeastern Finland: Analysis of survival and prior or subsequent fractures.
        Arch Gerontol Geriatr. 2012; 54: e294-e299
        • Buzby G.P.
        • Mullen J.L.
        • Matthews D.C.
        • et al.
        Prognostic nutritional index in gastrointestinal surgery.
        Am J Surg. 1980; 139: 160-167
        • Cheung C.L.
        • Ang S.B.
        • Chadha M.
        • et al.
        An updated hip fracture projection in Asia: The Asian Federation of Osteoporosis Societies study.
        Osteoporos Sarcopenia. 2018; 4: 16-21
        • Choi H.G.
        • Lee Y.B.
        • Rhyu S.H.
        • et al.
        Mortality and cause of death postoperatively in patients with a hip fracture: A national cohort longitudinal follow-up study.
        Bone Joint J. 2018; 100-B: 436-442
        • Soukkio P.
        • Suikkanen S.
        • Kääriä S.
        • et al.
        Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with a recent hip fracture - protocol of a randomized controlled trial (HIPFRA study).
        BMC Geriatr. 2018; 18: 232
        • Hinton P.S.
        • Rector R.S.
        • Linden M.A.
        • et al.
        Weight-loss-associated changes in bone mineral density and bone turnover after partial weight regain with or without aerobic exercise in obese women.
        Eur J Clin Nutr. 2012; 66: 606-612