[Factors which influence postoperative mortality after hip fracture].
OBJECTIVE
One of the most significant predictors of mortality after hip fractures is cognitive impairment (dementia). The aim of this study was to report the results of a prospective study of the influence of some factors on six-month mortality in elderly patients with hip fractures.


METHODS
The elderly patients with hip fracture were assessed on admission to the hospital using the measures of cognitive function, the mobility before the fracture, and physical comorbidity, the type of fracture and the place of the injury. Six months later, we checked how many of them were still alive.


RESULTS
We performed univariate and multivariate analyses in 132 patients and found that the most significant predictors of six-month mortality were dementia, comorbidity, and prefacture mobility.


CONCLUSIONS
A comprehensive physical and mental health assessment of an elderly patient after hip fracture could predict mortality. A good examination of cognitive functioning could be very useful in choosing the optimal treatment for this type of patients.
Medicinski fakultet, Klinicki centar Kragujevac, Kragujevac. iristic@infosky.net
Branko
B
Ristić
Dragana Ignjatović
DI
Ristić
Biljana
B
Milicić
Zdravko
Z
Obradović
D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000150:complications; D005260:Female; D006620:Hip Fractures / Q000150:complications / Q000401:mortality* / Q000601:surgery; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D015996:Survival Rate