Cerrahi Tedavi Uygulanan Kalça Kırığı olan Geriatrik Hastalardaki Erken Dönem Mortalite Oranları ve Cerrahi Tipleri

Abstract

Amaç: Bu çalışmanın amacı, basit düşme sonrası kalça kırığı gelişen ve cerrahi olarak tedavi edilen 65 yaş üstü hastalarda cerrahi sonrası 30 gün içinde mortalite ile kırık, implant tipi ve cerrahi zamanlaması arasındaki ilişkiyi araştırmaktır. Gereç ve Yöntemler: 01 Ocak 2010 - 31 Temmuz 2020 tarihleri Düzce Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalına başvuran hastalar incelendi. Bu hastalar arasından belirtilen tarihler arasında izole kalça kırığı tanısı ile protez veya proksimal femoral çivi/plak vida ameliyatı yapılan 65 yaş üstü hastalarda cinsiyet, yaş, ameliyat zamanı, ameliyat tipi ve ameliyat sonrası mortalite oranları arasındaki ilişki retrospektif olarak değerlendirildi. Bu çalışmada, belirtilen zaman aralığında tedavi edilen 450 hasta değerlendirildi ve 308 hasta çalışmamızın kriterlerini karşıladı. Bulgular: Mortalite oranları ile cerrahi (implant) arasında istatistiksel olarak anlamlı bir fark vardı (p<0,05). Ayrıca Anestezi tipi ile mortalite oranları arasında istatistiksel olarak anlamlı bir fark vardı (p<0,001). Hastaneye yatış ile ameliyat arasında geçen süre (gün) ve ameliyat ile taburculuk arasında geçen süre (gün) ile mortalite oranları arasında istatistiksel olarak anlamlı bir fark yoktu (p=0,984). Ameliyat yaşı ile mortalite oranları arasındaki fark istatistiksel olarak anlamlıydı (p<0,001). Sonuç: Bu çalışmada ameliyat sonrası birinci ayda mortalite oranı %8,1 olarak bulundu ve mortaliteyi etkileyen en önemli faktörlerin ameliyat tipi ve anestezi tipi olduğu saptandı.

Keywords

• kalça kırığı
• ameliyat zamanlaması
• mortalite
• geriatri

Early Mortality Rates and Types of Surgery in Geriatric Patients with Hip Fractures Undergoing Surgical Treatment

Abstract

Aim: The aim of this study was to investigate the relationships between mortality within 30 days after surgery and fracture incidence, implant type and surgical timing in patients older than 65 years who developed hip fractures after a simple fall and were treated surgically. Material and Methods: Patients admitted to the emergency department of the xxx Department of Orthopedics and Traumatology between 01 January 2010 and 31 July 2020 were included. Among these patients, the relationships between sex, age, duration of surgery, type of surgery and postoperative mortality rate were retrospectively evaluated in patients older than 65 years who were diagnosed with isolated hip fracture and who underwent prosthesis or proximal femoral nail/plate screw surgery between the specified dates. In this study, 450 patients treated within the specified time intervals were evaluated, and 308 patients fulfilled the criteria of our study. Results: There was a statistically significant difference between the mortality rate and surgery (implant) (p<0.05). Additionally, there was a statistically significant difference between the mortality rate and the type of anesthesia (p<0.001). There was no statistically significant difference between the time between hospitalization and surgery (days) or between surgery and discharge (days) or between hospitalization and mortality (p=0.984). The difference between age at operation and mortality rate was statistically significant (p<0.001). Conclusion: In this study, the mortality rate in the first month after surgery was 8.1%, and the most important factors affecting mortality were the type of surgery and type of anesthesia.

Keywords

• hip fractures
• timing of surgery
• mortality
• geriatric

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