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Effects of comorbidities and post-operative complications on mortality after hip fracture in elderly people
 — prospective observational cohort study
Author(s)J J W Roche, R T Wenn, O Sahota
Journal titleBritish Medical Journal, vol 331, no 7529, 10 December 2005
Pagespp 1374-1376
Sourcehttp://www.bmj.com
KeywordsFractures ; Orthopaedics ; At risk ; Death rate [statistics] ; Clinical surveys.
AnnotationMortality is high after surgery for hip fracture in older patients. In a study over a 4-year period of 2448 consecutive patients admitted to hospital with an acute hip fracture, mortality was 9.6% at 30 days and 33% at one year. The most common postoperative complications were chest infection (9%) and heart failure (5%). In patients who develop postoperative heart failure, mortality was 65% at 30 days and 92% within one year. In those who developed postoperative chest infection, mortality at 30 days was 43%. Patients with multiple comorbidities, especially respiratory disease and malignancy before surgery for hip fracture were at a higher risk of mortality. Such patients offer a clear target for specialised medical assessment. (RH).
Accession NumberCPA-060106202 A
ClassmarkCUF: LKB: CA3: S5: 3G *

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