Early mortality after cervical hip fractures.
A total of 59 (13.5 per cent) of 437 patients with cervical hip fractures died within the first 3 months, compared with an expected mortality rate of 2.6 per cent in the comparable general population (P < 0.05). The average age at death was 86 years (range, 62-98). The 3-months mortality rate among patients admitted from institutions was 24/105 = 23 per cent compared with 35/332 = 10.5 per cent for patients admitted from their own homes (P < 0.05). The 3-months mortality rate for patients with Garden 1 + 2 fractures was 9.4 per cent compared with 14 per cent for Garden 3 + 4 (P < 0.05). This series seems to suggest that non-cemented hemi-arthroplasty may be associated with an increased 3-months mortality rate of 21 per cent compared with 13.9 per cent (P < 0.05) for patients with the same age distribution. This may be due to a relatively high deep-infection rate following non-cemented hemi-arthroplasty.
Levi
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Department of Orthopaedic Surgery, Frederiksberg Hospital, University of Copenhagen, Denmark.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001178:Arthroplasty / Q000401:mortality; D001863:Bone Screws; D003718:Denmark / Q000453:epidemiology; D005260:Female; D005593:Fracture Fixation, Internal / Q000401:mortality; D006620:Hip Fractures / Q000401:mortality* / Q000601:surgery; D006621:Hip Joint / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000401:mortality*