title: Short-term outcomes of hip fractures in patients aged 90 years old and over receiving surgical intervention.
abstract: BACKGROUND
  The knowledge about short-term outcomes of nonagenarians undergoing surgery for hip fracture in Asian is limited.
  
  
  METHODS
  The patients with hip fractures who underwent hip hemiarthroplasty and open reduction with internal fixation (ORIF) for management during the period from 2008 to 2012 were identified and their medical record was retrospectively reviewed.
  
  
  RESULTS
  During the study period, a total of 101 patients underwent surgery for management of hip fractures, and the age of patients ranged from 90 to 96 years. The sites of hip fracture were intertrochanteric (n = 57, 56.4%) and the neck of the femur (n = 44, 43.6%). Most of the patients had American Society of Anesthesiologists scores of 3(n = 55) or 4 (in 44 patients). 80.2% (n = 81) underwent the operation within one day after admission; however, there were 13 patients (12.9%) that underwent surgery 48 or more hours later. ORIF and hemiarthroplasty were performed for 63 (62.4%) and 38 (37.6%) patients, respectively. Overall, the 30-day and 1-year mortality rates were 9.9% (10/101) and 17.3% (13/75), respectively. Multivariate analysis showed that the 30-day mortality was significantly associated only with end-stage renal disease (ESRD) (Odds ratio, 11.13, 95% confidence interval, 1.275-97.881, P = .029).
  
  
  CONCLUSIONS
  The short-term outcome of surgical management for Asian nonagenarians with hip fractures is favorable in selected patients.
authors.affiliation: Department of Orthopedics, Chi Mei Medical Center, Tainan, Taiwan; Department of Physical Therapy, Shu Zen Junior College of Medicine and Management, Kaohsiung, Taiwan.
authors.forename: Wei-Ting
authors.initials: WT
authors.lastname: Lin
authors.affiliation: Departments of Intensive Care Medicine, Chi Mei Medical Center, Liouying, Tainan, Taiwan; Department of Nursing, Min-Hwei College of Health Care Management, Tainan, Taiwan.
authors.forename: Chien-Ming
authors.initials: CM
authors.lastname: Chao
authors.affiliation: Department of Orthopedics, Chi Mei Medical Center, Tainan, Taiwan.
authors.forename: Hsuan-Chih
authors.initials: HC
authors.lastname: Liu
authors.affiliation: Department of Orthopedics, Chi Mei Medical Center, Tainan, Taiwan.
authors.forename: Yi-Ju
authors.initials: YJ
authors.lastname: Li
authors.affiliation: Department of Emergency medicine, Chi Mei Medical Center, Tainan, Taiwan.
authors.forename: Wei-Jing
authors.initials: WJ
authors.lastname: Lee
authors.affiliation: Departments of Intensive Care Medicine, Chi Mei Medical Center, Liouying, Tainan, Taiwan.
authors.forename: Chih-Cheng
authors.initials: CC
authors.lastname: Lai
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D012189:Retrospective Studies; D016896:Treatment Outcome