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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 8, 1060-1064.
doi: 10.1302/0301-620X.88B8.17398  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Outcome after surgery for fracture of the hip in patients aged over 95 years

G. Holt, MBChB, MRCS, Orthopaedic Specialist Registrar1; D. Macdonald, MBChB, MRCS, Orthopaedic Specialist Registrar1; M. Fraser, BN(Hons), Orthopaedic Nurse Specialist2; and A. T. Reece, MBChB, FRCS(Orth), Consultant Orthopaedic Surgeon1

1 Department of Trauma and Orthopaedics
2 Department of Bone and Mineral Metabolism, The Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UK.

Correspondence should be sent to Mr G. Holt at 12 Kidsneuk Gardens, Irvine KA12 8SX, UK; e-mail: graemeholt{at}btinternet.com

Despite the increase in numbers of the extreme elderly, little data is available regarding their outcome after surgery for fracture of the hip. We performed a prospective study of 50 patients aged 95 years and over who underwent this procedure. Outcome measures included morbidity, mortality, hospital stay, residential and walking status. Comparison was made with a control group of 200 consecutive patients aged less than 95 years who had a similar operation. The mortality at 28 and 120 days was higher (p = 0.005, p = 0.001) in the patients over 95 years. However, the one-year cumulative post-operative mortality was neither significantly different between the two groups (p = 0.229) nor from the standardised mortality rate for the age-matched population (p = 0.445). Predictors of mortality included the ASA grade, the number of comorbid medical conditions and active medical problems on admission. Patients over 95 were unlikely to recover their independence and at a mean follow-up of 29.3 months (12.1 to 48) 96% required permanent institutional care.




eLetters:

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Data is available on outcome of very eldery hip fractures
Christopher W. Oliver, et al.
J Bone Joint Surg Br Online, 7 Aug 2006 [Full text]
Cognitive impairment may affect outcome after surgery for fracture of the hip
Samuel G Molyneux, et al.
J Bone Joint Surg Br Online, 14 Sep 2006 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General