The determinants of mortality and morbidity during the year following fracture of the hip: a prospective study.
Several studies have reported the rate of post-operative mortality after the surgical treatment of a fracture of the hip, but few data are available regarding the delayed morbidity. In this prospective study, we identified 568 patients who underwent surgery for a fracture of the hip and who were followed for one year. Multivariate analysis was carried out to identify possible predictors of mortality and morbidity. The 30-day, four-month and one-year rates of mortality were 4.3%, 11.4%, and 18.8%, respectively. General complications and pre-operative comorbidities represented the basic predictors of mortality at any time interval (p < 0.01). In-hospital, four-month and one-year general complications occurred in 29.4%, 18.6% and 6.7% of patients, respectively. After adjusting for confounding variables, comorbidities and poor cognitive status determined the likelihood of early and delayed general complications, respectively (p < 0.001). Operative delay was the main predictor of the length of hospital stay (p < 0.001) and was directly related to in-hospital (p = 0.017) and four-month complications (p = 0.008).
University Federico II, Via S. Pansini 5, building 12, Naples, 80131, Italy.
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Mariconda
University Federico II, Via S. Pansini 5, building 12, Naples, 80131, Italy.
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Costa
University Federico II, Via S. Pansini 5, building 12, Naples, 80131, Italy.
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Cerbasi
University Federico II, Via S. Pansini 5, building 12, Naples, 80131, Italy.
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Recano
University Federico II, Via S. Pansini 5, building 12, Naples, 80131, Italy.
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Aitanti
''Umberto I'' Hospital, Viale S. Francesco 2, Nocera Inf. (Salerno) 84014, Italy.
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Gambacorta
A. Cardarelli Hospital, Via A. Cardarelli 9, Naples, 80131, Italy.
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Misasi
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D005260:Female; D006620:Hip Fractures / Q000401:mortality* / Q000601:surgery*; D006801:Humans; D007558:Italy / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011183:Postoperative Complications / Q000401:mortality; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors
Hip fractures; complications; morbidity; mortality; predictors