Publication: Outcome of Early Hip Fracture Surgery in Elderly Patients in Ramathibodi Hospital: A Prospective Cohort Study
Issued Date
2013
Resource Type
Language
eng
ISSN
0125-3611 (Print)
2651-0561 (Online)
2651-0561 (Online)
Rights
Mahidol University
Rights Holder(s)
Department of Orthopedics Faculty of Medicine Ramathibodi Hospital Mahidol University
Bibliographic Citation
Ramathibodi Medical Journal. Vol. 36, No. 1 (Jan-Mar 2013), 3-12
Suggested Citation
Paphon Sa-Ngasoongsong, Noratep Kulachote, Norachart Sirisreetreerux, Pongsathorn Chanplakorn, Sukij Laohajaroensombat, Jariyawadee Seeraprom, Chanyut Suphachatwong, Viroj Kawinwonggowit, Wiwat Wajanavisit, ปพน สง่าสูงส่ง, นรเทพ กุลโชติ, นรชาติ ศิริศรีตรีรักษ์, พงศธร ฉันท์พลากร, สุกิจ เลาหเจริญสมบัติ, จริยาวดี ศีระพรม, ชาญยุทธ ศุภชาติวงศ์ Outcome of Early Hip Fracture Surgery in Elderly Patients in Ramathibodi Hospital: A Prospective Cohort Study. Ramathibodi Medical Journal. Vol. 36, No. 1 (Jan-Mar 2013), 3-12. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/79702
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Title
Outcome of Early Hip Fracture Surgery in Elderly Patients in Ramathibodi Hospital: A Prospective Cohort Study
Author(s)
Paphon Sa-Ngasoongsong
Noratep Kulachote
Norachart Sirisreetreerux
Pongsathorn Chanplakorn
Sukij Laohajaroensombat
Jariyawadee Seeraprom
Chanyut Suphachatwong
Viroj Kawinwonggowit
Wiwat Wajanavisit
ปพน สง่าสูงส่ง
นรเทพ กุลโชติ
นรชาติ ศิริศรีตรีรักษ์
พงศธร ฉันท์พลากร
สุกิจ เลาหเจริญสมบัติ
จริยาวดี ศีระพรม
ชาญยุทธ ศุภชาติวงศ์
Noratep Kulachote
Norachart Sirisreetreerux
Pongsathorn Chanplakorn
Sukij Laohajaroensombat
Jariyawadee Seeraprom
Chanyut Suphachatwong
Viroj Kawinwonggowit
Wiwat Wajanavisit
ปพน สง่าสูงส่ง
นรเทพ กุลโชติ
นรชาติ ศิริศรีตรีรักษ์
พงศธร ฉันท์พลากร
สุกิจ เลาหเจริญสมบัติ
จริยาวดี ศีระพรม
ชาญยุทธ ศุภชาติวงศ์
Abstract
Background: Early surgery in elderly hip fracture has been recently demonstrated to reduce postoperative mortality and morbidity. However, the result of this strategy is still not established in Asians population or in the patients with multiple co-morbid diseases who required advanced medical care.
Objective: To assess the 1-year outcome after treatment with early operative treatment in geriatric patients with hip fracture and compare the outcome between intracapsular and extracapsular hip fracture.
Methods: A prospective cohort study was conducted, between 1st January 2011 and 31th December 2011, in all new elderly hip fracture patients. They were enrolled with informed consent and undergone operative treatment within 3 days after admission. Then the patients were prospectively follow-up for one-year period to evaluate the postoperative mortality and morbidity.
Results: A total of 106 patients were included. Average age was 79.2\pm8.0 years. Eighty-one patients (76%) had at least two co-morbid disease before fracture. The average length of hospital stay was 7.4\pm4.9 days. The overall mortality rates at 30-day, 90-day, 6-month, and 1-year end point were 2.8%, 5.7%, 7.6%, and 14.3% respectively. Nineteen patients (18.1%) developed complications (46.1%), and re-admission (73.3%). There was no significant difference in one-year mortality and morbidity between intracapsular and extracapsular hip fracture.
Conclusions: Early surgery after hip fracture in elderly patients demonstrated effectiveness in reducing postoperative mortality, morbidity, and length of hospital stay, especially in the patients with multiple co-morbidities.