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Archives of Orthopaedic and Trauma Surgery

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01-01-2021 | Trauma Surgery

Impact of the Holocaust on the outcomes of elderly patients sustaining a fragility hip fracture

Authors: Tal Frenkel Rutenberg, Maria Vitenberg, Efrat Daglan, Barak Haviv, Steven Velkes, Shai Shemesh

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2021

Abstract

Introduction

Holocaust survivors (HS) were under an immense continues physical and mental stressors in their younger years, putting them at increased risk for both fragility hip fractures and worse medical and functional outcomes. We aimed to evaluate whether being a HS could affect the functional outcomes of fragility hip fractures in patients 80 years of age and older following surgery.

Materials and methods

A retrospective study comparing consecutive patients, 80 years and older, who were operated for fragility hip fractures between 2011 and 2016. HS survival status was self-defined by survivors who were born in European and northern African countries that were later occupied by the Nazi regime during World War II and experienced incarceration in concentration camps, forced labor camps and mass transport. Primary outcomes were mortality either within hospital or in the post-operative year. Secondary outcomes were in-hospital complications, recurrent hospitalizations and orthopedic complications within the post-operative year.

Results

Two hundred thirty-one HS and 339 controls, ages 86.4 ± 4.4 years who were operated for fragility hip fracture between January 2011 to June of 2016 were included in the study. Patients from both groups were of similar age, Carlson’s co-morbidity index score, leaving arrangement and pre-fracture mobility. Among HS there were more women (p = 0.029). HS did not have lower survival rates either within hospital or in the post- operative year. Both length of stay and in-hospital complication rates were similar between groups. In the post-operative year, HS were less likely to be hospitalized than controls (p = 0.021). The rate of orthopedic complications was also similar.

Conclusions

Holocaust survivors patients do not achieve worse outcome following fragility hip fracture surgery and present distinctive resilience.

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Title: Impact of the Holocaust on the outcomes of elderly patients sustaining a fragility hip fracture
Authors: Tal Frenkel Rutenberg
Maria Vitenberg
Efrat Daglan
Barak Haviv
Steven Velkes
Shai Shemesh
Publication date: 01-01-2021
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 1/2021
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-020-03459-7

At a glance: The STEP trials

Springer Medicine

Impact of the Holocaust on the outcomes of elderly patients sustaining a fragility hip fracture

Abstract

Introduction

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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