Home|Journals|Articles by Year Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Research



Risk factors for mortality in delayed intertrochanteric fractures

Haluk Cabuk, Cem Dincay Buyukkurt, Ali Cagri Tekin, Suleyman Semih Dedeoglu, Yunus Imren, Yasin Guler, Hakan Gurbuz.

Abstract
We aimed to figured out the risk factors of one year mortality in intertrochanteric hip fractures with delayed operation more than 72 hours. 96 out of 226 patients with proximal femoral fracture included in this study. Hemogram, blood urine nitrogen (BUN), creatinine, sodium, potassium and serum albumin levels are recorded from their blood test at administration of hospital. Time to theatre and postoperative needs for intensive care are recorded. Mobility functions before fracture and after 3 months of operation are assessed by mobility part of Barthel index. Multiple logistic regression analysis was performed to estimate the simultaneous effects of important covariates. In univariate model, age(p=0.0027), ASA(p=0.00), loss of mobility(p=0.00), bone union time(p=0.001), blood transfusion(p=0.026), albumin(p=0.004) and mobility after operation (p=0.001) were associated with mortality but in the final model for multivariate regression analysis loss of mobility level (p=0.001) and bone union time (p=0.02) were found to be independent risk factors of mortality. In postoperative period mobilization is the most important variable that we could changed in intertrochanteric fractures to decrease mortality. Whatever the timing of operation, gaining the mobility as soon as possible should be the goal of our treatment.

Key words: Risk factors, hip fractures, serum albumin, mobility , mortality


Full-text options

Full-text Article


Share this Article


Readers of this article also read the following articles
»Synthesis and Characterization of Novel Hydrazone Based Anti-mutagenic and Antioxidative Agents
»Goodness of Measurement: Reliability and Validity
»RISK CONCEPT AND RISK ASSESSMENT IN EPIDEMIOLOGIC STUDIES
»Schizophrenia, violence and homicidal act: assessing the risks, preventive measures and place of clozapine in the treatment
»Evaluation of individuals referred to the Medical Board of Psychiatry Hospital for guardianship
»A Supportive Therapeutic and Diagnostic Modality: Sleep Deprivation
»EFFECT OF SEA WATER AND MANNITOL ON TOTAL PHENOLICS, FLAVONOID CONSTITUENTS AND ANTIOXIDANT ACTIVITY OF KAFF MARYAM (ANASTATICA HIEROCHUNTICA L.)
»Determination of the Knowledge and Practice on Fever of Mother with 0-6 Year’s Children
»Evaluation of Pinhole Castration Technique Compared With Traditional Method For Castration In Dogs
»Effect of Trema guineensis (celtidaceae) on ethanol-induced hypertension in Wistar rats.
»Out of pocket spending by the sick segments of the community in a publically funded tertiary care hospital in Peshawar, Pakistan



Advertisement
Journal of Molecular Pathophysiology

SUBMIT YOUR ARTICLE NOW




ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.