In EDS ansehen

Risk factors for mortality in periprosthetic femur fractures about the hip-a retrospective analysis

Gespeichert in:
Bibliographische Detailangaben
Titel: Risk factors for mortality in periprosthetic femur fractures about the hip-a retrospective analysis
Autoren: Katharina Müller, Samira Zeynalova, Johannes K.M. Fakler, Christian Kleber, Andreas Roth, Georg Osterhoff
Quelle: Int Orthop
Verlagsinformationen: Springer Science and Business Media LLC, 2024.
Publikationsjahr: 2024
Schlagwörter: Male, Aged, 80 and over, Original Paper, Female [MeSH], Aged, 80 and over [MeSH], Time of surgery, Aged [MeSH], Postoperative Complications/mortality [MeSH], Total hip arthroplasty, Humans [MeSH], Femoral Fractures/mortality [MeSH], Postoperative Complications/epidemiology [MeSH], Retrospective Studies [MeSH], Vancouver classification, Middle Aged [MeSH], Risk Factors [MeSH], Periprosthetic Fractures/surgery [MeSH], Periprosthetic fracture, Arthroplasty, Replacement, Hip/mortality [MeSH], Femoral Fractures/surgery [MeSH], Mortality, Male [MeSH], Arthroplasty, Replacement, Hip/adverse effects [MeSH], Hip fracture, Periprosthetic Fractures/mortality [MeSH], Time to surgery, Arthroplasty, Replacement, Hip, Middle Aged, Postoperative Complications, Risk Factors, Humans, Female, Periprosthetic Fractures, Femoral Fractures, Aged, Retrospective Studies
Beschreibung: Purpose Fractures around the hip are known to be an indicator for fragility and are associated with high mortality and various complications. A special type of fractures around the hip are periprosthetic femur fractures (PPF) after Total Hip Arthroplasty (THA). The aim of this study was to investigate the mortality rate associated with PPF after THA and to identify risk factors that may increase it. Methods Consecutive patients (N = 158) who were treated for a PPF after THA in our university hospital between 2010 and 2020 were identified and mortality was assessed using the residential registry. Univariate (Kaplan-Meier-Estimator) and multivariate (Cox-Regression) statistical analysis was performed to identify risk factors influencing mortality. Results One-year-mortality rate was 23.4% and 2-year mortality was 29.2%. Mortality was significantly influenced by age, gender, treatment, type of comorbidity and time of surgery (p p = 0.046). For every year of age, mortality risk increased by 12.9% (OR: 1,129, 95% CI 1.078, 1.182; p p = 0.179). Plate fixation and conservative treatment were associated with a higher mortality compared to revision arthroplasty (plate: OR 2.8, 95% CI 1.318, 5.998; p = 0.007; conservative: OR 2.5, 95% CI 1.421, 4.507; p = 0.002). Conclusion Surgical treatment during regular working hours is associated with lower mortality compared to surgery outside these hours. In this retrospective cohort, time to surgery showed no significant impact on all-cause mortality, and revision arthroplasty was associated with lower mortality than conservative treatment or plate fixation. Level of evidence IV (Retrospective cohort study).
Publikationsart: Article
Other literature type
Sprache: English
ISSN: 1432-5195
0341-2695
DOI: 10.1007/s00264-024-06346-7
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/39387883
https://repository.publisso.de/resource/frl:6497418
Rights: CC BY
Dokumentencode: edsair.doi.dedup.....1e0e841ba9529f2efb8ffdfd9b7997a6
Datenbank: OpenAIRE
Beschreibung
Abstract:Purpose Fractures around the hip are known to be an indicator for fragility and are associated with high mortality and various complications. A special type of fractures around the hip are periprosthetic femur fractures (PPF) after Total Hip Arthroplasty (THA). The aim of this study was to investigate the mortality rate associated with PPF after THA and to identify risk factors that may increase it. Methods Consecutive patients (N = 158) who were treated for a PPF after THA in our university hospital between 2010 and 2020 were identified and mortality was assessed using the residential registry. Univariate (Kaplan-Meier-Estimator) and multivariate (Cox-Regression) statistical analysis was performed to identify risk factors influencing mortality. Results One-year-mortality rate was 23.4% and 2-year mortality was 29.2%. Mortality was significantly influenced by age, gender, treatment, type of comorbidity and time of surgery (p p = 0.046). For every year of age, mortality risk increased by 12.9% (OR: 1,129, 95% CI 1.078, 1.182; p p = 0.179). Plate fixation and conservative treatment were associated with a higher mortality compared to revision arthroplasty (plate: OR 2.8, 95% CI 1.318, 5.998; p = 0.007; conservative: OR 2.5, 95% CI 1.421, 4.507; p = 0.002). Conclusion Surgical treatment during regular working hours is associated with lower mortality compared to surgery outside these hours. In this retrospective cohort, time to surgery showed no significant impact on all-cause mortality, and revision arthroplasty was associated with lower mortality than conservative treatment or plate fixation. Level of evidence IV (Retrospective cohort study).
ISSN:14325195
03412695
DOI:10.1007/s00264-024-06346-7