Department of Emergency Medicine and Cardiology, National and Kapodistrian University of Athens, Athens, Greece.
First Department of Orthopaedics, National and Kapodistrian University of Athens, Athens, Greece.
Eur J Orthop Surg Traumatol. 2023 May;33(4):751-757. doi: 10.1007/s00590-022-03250-x. Epub 2022 Mar 24.
Hip fractures in the elderly are associated with an increased mortality rate, even if they are operated within the recommended time window. However, the causes of mortality vary considerably depending on the postoperative period and the patients' comorbidities. In the 30-day postoperative period, the most common causes of death are acute processes such as bacterial and aspiration pneumonia followed by myocardial infarction, cancer, gastrointestinal hemorrhage, stroke, pulmonary embolism, and acute renal failure. In the 6-month and 1-year postoperative period, chronic processes appear to be the most important causes of death, as well as decompensation of patients' chronic diseases. To enhance the literature, we performed this literature review to summarize and discuss the causes of mortality of elderly hip fracture patients depending on the postoperative period that they occur, and possibly to address the question what do hip fracture patients die from? Our aim was to perform an interesting and concise paper that the curious reader will find interesting and informative.
老年人髋部骨折与死亡率增加相关，即使在推荐的时间窗内进行手术也是如此。然而，死亡率的原因因术后时期和患者的合并症而有很大差异。在术后 30 天内，最常见的死亡原因是急性过程，如细菌性和吸入性肺炎，其次是心肌梗死、癌症、胃肠道出血、中风、肺栓塞和急性肾衰竭。在术后 6 个月和 1 年内，慢性过程似乎是导致死亡的最重要原因，以及患者慢性疾病的恶化。为了丰富文献，我们进行了这项文献回顾，以总结和讨论根据发生时间的不同，老年髋部骨折患者的死亡原因，并可能解决髋部骨折患者死于何种疾病的问题。我们的目的是撰写一篇有趣而简洁的论文，让好奇的读者觉得有趣并有所收获。
