A total of 59 (13.5 per cent) of 437 patients with cervical hip fractures died within the first 3 months, compared with an expected mortality rate of 2.6 per cent in the comparable general population (P<0.05).
The average age at death was 86 years (range, 62-98).
The 3-months mortality rate among patients admitted from institutions was 24/105=23 per cent compared with 35/332=10.5 per cent for patients admitted from their own homes (P<0.05).
The 3-months mortality rate for patients with Garden 1+2 fractures was 9.4 per cent compared with 14 per cent for Garden 3+4 (P<0.05).
This series seems to suggest that non-cemented hemi-arthroplasty may be associated with an increased 3-months mortality rate of 21 per cent compared with 13.9 per cent (P<0.05) for patients with the same age distribution.
This may be due to a relatively high deep-infection rate following non-cemented hemi-arthroplasty.
Mots-clés Pascal : Fracture, Col fémoral, Vieillard, Homme, Pronostic, Mortalité, Précoce, Epidémiologie, Facteur risque, Plastie, Prothèse, Fixation, Interne, Infection, Os, Hanche, Traumatisme, Système ostéoarticulaire pathologie, Chirurgie orthopédique
Mots-clés Pascal anglais : Fracture, Femoral neck, Elderly, Human, Prognosis, Mortality, Early, Epidemiology, Risk factor, Plasty, Prosthesis, Fixation, Internal, Infection, Bone, Hip, Trauma, Diseases of the osteoarticular system, Orthopedic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0045113
Code Inist : 002B16H. Création : 21/05/1997.