Chlebeck, J Orthop Trauma 2019 - Nonoperative Geriatric Hip Fracture Treatment Is Associated with Increased Mortality: A Matched Cohort Study - Article Summary

Nonoperative Geriatric Hip Fracture Treatment Is Associated with Increased Mortality: A Matched Cohort Study

Chlebeck, Schottel, et al.·J Orthop Trauma·2019·92 citations·Retrospective cohort

Purpose

To report the mortality data and life expectancy of geriatric hip fracture patients who underwent nonoperative management and compare that with a matched operative cohort.

Methods

Design: Retrospective cohort study.

Setting: Level 1 trauma center.

Patients: Geriatric (65 years of age and older) femoral neck or intertrochanteric fracture (OTA/AO 31A and 31B) patients.

Intervention: Operative treatment with either arthroplasty, cannulated screws, sliding hip screw device, or cephalomedullary nail compared with nonoperative cohort.

Main Outcome Measures: In-hospital, 30-day, and 1-year mortality.

Results

231 patients, comprising 154 operative and 77 nonoperative patients, were compared.
There were no significant differences among age, sex, fracture location, Charlson Comorbidity Index, preinjury living location, dementia, and history of cardiac arrhythmia between the 2 cohorts.
Nonoperatively managed patients were found to have a significantly higher percent in-hospital (28.6 vs. 3.9; P < 0.0001), 30-day (63.6 vs. 11.0; <0.0001), and 1-year (84.4 vs. 36.4; P < 0.0001) mortality.
The mean life expectancy after a hip fracture for the nonoperative cohort was significantly shorter than the operative group (221 vs. 1024 days; P < 0.0001).

Conclusions

Nonoperatively treated hip fracture patients had an 84.4% 1-year mortality that was significantly higher than a matched operative cohort. Our results demonstrate the bleak overall prognosis for nonoperatively treated geriatric hip fractures as well as the associated reduction in mortality with surgical treatment. Our findings offer helpful information by providing updated mortality data when discussing nonoperative hip fracture management with patients and their family.

Level of evidence: Therapeutic Level III. Copyright remains with the authors and publisher.

Core

Nonoperative Geriatric Hip Fracture Treatment Is Associated with Increased Mortality: A Matched Cohort Study

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Nonoperative Geriatric Hip Fracture Treatment Is Associated with Increased Mortality: A Matched Cohort Study

Chlebeck, Schottel, et al.·J Orthop Trauma·2019·92 citations·Retrospective cohort

DOI·PubMed

Purpose

To report the mortality data and life expectancy of geriatric hip fracture patients who underwent nonoperative management and compare that with a matched operative cohort.

Methods

Design: Retrospective cohort study.

Setting: Level 1 trauma center.

Patients: Geriatric (65 years of age and older) femoral neck or intertrochanteric fracture (OTA/AO 31A and 31B) patients.

Intervention: Operative treatment with either arthroplasty, cannulated screws, sliding hip screw device, or cephalomedullary nail compared with nonoperative cohort.

Main Outcome Measures: In-hospital, 30-day, and 1-year mortality.

Results

231 patients, comprising 154 operative and 77 nonoperative patients, were compared.
There were no significant differences among age, sex, fracture location, Charlson Comorbidity Index, preinjury living location, dementia, and history of cardiac arrhythmia between the 2 cohorts.
Nonoperatively managed patients were found to have a significantly higher percent in-hospital (28.6 vs. 3.9; P < 0.0001), 30-day (63.6 vs. 11.0; <0.0001), and 1-year (84.4 vs. 36.4; P < 0.0001) mortality.
The mean life expectancy after a hip fracture for the nonoperative cohort was significantly shorter than the operative group (221 vs. 1024 days; P < 0.0001).

Conclusions

Level of evidence: Therapeutic Level III. Copyright remains with the authors and publisher.

Purpose

To report the mortality data and life expectancy of geriatric hip fracture patients who underwent nonoperative management and compare that with a matched operative cohort.

Methods

Design: Retrospective cohort study.

Setting: Level 1 trauma center.

Patients: Geriatric (65 years of age and older) femoral neck or intertrochanteric fracture (OTA/AO 31A and 31B) patients.

Intervention: Operative treatment with either arthroplasty, cannulated screws, sliding hip screw device, or cephalomedullary nail compared with nonoperative cohort.

Main Outcome Measures: In-hospital, 30-day, and 1-year mortality.

Results

231 patients, comprising 154 operative and 77 nonoperative patients, were compared.
There were no significant differences among age, sex, fracture location, Charlson Comorbidity Index, preinjury living location, dementia, and history of cardiac arrhythmia between the 2 cohorts.
Nonoperatively managed patients were found to have a significantly higher percent in-hospital (28.6 vs. 3.9; P < 0.0001), 30-day (63.6 vs. 11.0; <0.0001), and 1-year (84.4 vs. 36.4; P < 0.0001) mortality.
The mean life expectancy after a hip fracture for the nonoperative cohort was significantly shorter than the operative group (221 vs. 1024 days; P < 0.0001).

Conclusions

Level of evidence: Therapeutic Level III. Copyright remains with the authors and publisher.

Purpose

To report the mortality data and life expectancy of geriatric hip fracture patients who underwent nonoperative management and compare that with a matched operative cohort.

Methods

Design: Retrospective cohort study.

Setting: Level 1 trauma center.

Patients: Geriatric (65 years of age and older) femoral neck or intertrochanteric fracture (OTA/AO 31A and 31B) patients.

Intervention: Operative treatment with either arthroplasty, cannulated screws, sliding hip screw device, or cephalomedullary nail compared with nonoperative cohort.

Main Outcome Measures: In-hospital, 30-day, and 1-year mortality.

Results

231 patients, comprising 154 operative and 77 nonoperative patients, were compared.
There were no significant differences among age, sex, fracture location, Charlson Comorbidity Index, preinjury living location, dementia, and history of cardiac arrhythmia between the 2 cohorts.
Nonoperatively managed patients were found to have a significantly higher percent in-hospital (28.6 vs. 3.9; P < 0.0001), 30-day (63.6 vs. 11.0; <0.0001), and 1-year (84.4 vs. 36.4; P < 0.0001) mortality.
The mean life expectancy after a hip fracture for the nonoperative cohort was significantly shorter than the operative group (221 vs. 1024 days; P < 0.0001).

Conclusions

Level of evidence: Therapeutic Level III. Copyright remains with the authors and publisher.