Predictors of Long-Term Survival After Hip Fractures-A 5 Year Results of A Retrospective Study

Abstract

Purpose: The most important fractures in this setting are hip fractures. The mortality declines during the following years after surgery. There are different studies with contrary conclusions regarding the long term mortality. Only little is known about predictable characteristics regarding the 5-year mortality. Furthermore, the already existing data present inconsistent results. In order to identify the risk factors and predictors on long term survival this study was conducted in elderly patients with hip fracture.Methodology: The study is a Retrospective study. Patients aged above 60 years with fracture around hip in the year 2015 & 2016 was taken and analysed. The details of the patients are derived from MRD and patients are contacted through telephonic communication to find out the survival. We have excluded patients with age less than 60yrs, multiple fractures and malignancy related fractures. Parameters like age, sex, comorbidities, the day of presentation to hospital following fracture, hospital stay, whether patient was put on antiplatelets following surgery, years of survival after surgery or treated non operatively.Results: A total of 150 patients attended to our Yenepoya Medical College during 2015 and 2016 were included in study and evaluated. The mortality was more than 40 % in less than two years after fracture. In the multivariate analysis, significant risk factors for dying were male gender (p = 0.188), comorbidities (p = 0.860), antiplatelet following surgery (p = 0.015), presenting to hospital after fracture (p = 0.003), operating day following admission (p = 0.033), dearranged blood markers (p = 0.020).Conclusion: Our results confirms poor results after hip fracture in elderly population. While better results might be influenced by optimal fracture care, patient’s age, gender,day of presentation to hospital, day of undergoing surgery following admission, antiplatelet following surgery, dearranged blood markers before surgery. More prospective clinical studies are required to exactly predict the factors responsible for survival after fractures in elderly.