Vosoughi A R, Emami M J, Pourabbas B, Mahdaviazad H
Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Musculoskelet Surg. 2017 Apr;101(1):25-29. doi: 10.1007/s12306-016-0432-1. Epub 2016 Oct 20.
Hip fracture is one of the most common public health problems with a significant financial burden on the patient and on the healthcare system. This study was conducted to assess the 3-month and 1-year mortality rates of patients with operated hip fractures and to determine the influence of predictors of mortality.
In this prospective cross-sectional study, all admitted patients aged more than 50 years with hip fracture at Chamran Hospital from January 2008 to August 2013 were enrolled. The characteristic data obtained included demographic information, body mass index (BMI), smoking, any previous history of osteoporotic fracture, and comorbidities. In addition, the mechanism of fracture, fracture type, and treatment method were recorded. A follow-up with the patients was conducted at 3 months and 1 year through a telephonic interview to ask about possible mortalities. Statistical analyses were performed using SPSS software version 17.0 for Windows.
A total of 1015 patients aged 50 years and older with hip fracture underwent surgery. Only 724 patients (71.3 %) completed the survey and the 1-year follow-up interview. The mean age was 75.7 ± 10.6 years. Overall, the 3-month and 1-year mortality rates were 14.5 and 22.4 %, respectively. Multivariate logistic regression analysis recognized age (OR 1.08; 95 % CI 1.05, 1.11, p < 0.001), BMI (OR 0.88; 95 % CI 0.82, 0.96, p = 0.003), and smoking (OR 1.76; 95 % CI 1.05, 2.96, p = 0.03) as major independent risk factors for mortality.
It is clear that modifiable factors like quitting the habit of smoking and gaining more energy with better nutrition could reduce the mortality rate if hip fracture occurs in the elderly.
髋部骨折是最常见的公共卫生问题之一，给患者和医疗系统带来了沉重的经济负担。本研究旨在评估接受手术治疗的髋部骨折患者的3个月和1年死亡率，并确定死亡率预测因素的影响。
在这项前瞻性横断面研究中，纳入了2008年1月至2013年8月在查姆兰医院收治的所有年龄超过50岁的髋部骨折患者。获得的特征数据包括人口统计学信息、体重指数（BMI）、吸烟情况、既往骨质疏松性骨折病史以及合并症。此外，记录骨折机制、骨折类型和治疗方法。通过电话访谈对患者进行3个月和1年的随访，询问可能的死亡情况。使用Windows版SPSS软件17.0进行统计分析。
共有1015例年龄在50岁及以上的髋部骨折患者接受了手术。只有724例患者（71.3%）完成了调查和1年的随访访谈。平均年龄为75.7±10.6岁。总体而言，3个月和1年死亡率分别为14.5%和22.4%。多因素逻辑回归分析确定年龄（OR 1.08；95%CI 1.05，1.11，p<0.001）、BMI（OR 0.88；95%CI 0.82，0.96，p = 0.003）和吸烟（OR
