title: Characterization of comorbid factors in hip fracture related in-hospital mortality.
abstract: It is important to delineate factors which influence in-hospital mortality rates following a hip fracture. The current study aimed to identify the nature and frequency of comorbidities prevalent in this patient cohort. A retrospective chart review of cases of in-patient mortality following admission for a hip fracture was performed. These cases (n=127) were characterized for comorbidities, complications, medical status indicators, and other contributory factors. Cardiovascular 104 (81.9%), respiratory 66 (52.0%), genitourinary 41 (32.3%), psychiatric 41 (32.3%), vascular 40 (31.5%), and gastrointestinal 40 (31.5%), are the physiological systems, most commonly associated with comorbidity amongst hip fracture patients who succumb to in-hospital mortality. Renal failure, pneumonia, sepsis, myocardial infarction, congestive cardiac failure (CCF), respiratory failure, and Clostridium difficile infection are conditions which are associated with postoperative complications leading to in-patient mortality. Analysis of medical status indicators illustrated an inverse correlation between ASA scores and postoperative survival time, in this cohort-of hip fracture patients (R2 = 0.9485).
authors.forename: M
authors.initials: M
authors.lastname: Athar
authors.forename: P
authors.initials: P
authors.lastname: O'Loughlin
authors.forename: A
authors.initials: A
authors.lastname: Mitra
authors.forename: J
authors.initials: J
authors.lastname: Harty
mesh_terms: D000369:Aged, 80 and over; D015897:Comorbidity; D005260:Female; D054624:Health Status Disparities; D006620:Hip Fractures / Q000453:epidemiology / Q000601:surgery; D017052:Hospital Mortality; D006801:Humans; D007494:Ireland / Q000453:epidemiology; D008297:Male; D019637:Orthopedic Procedures / Q000401:mortality*; D011183:Postoperative Complications / Q000145:classification / Q000401:mortality; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013223:Statistics as Topic; D016019:Survival Analysis